Inflammatory abdominal aortic aneurysms. A 20-year experience

J Cardiovasc Surg (Torino). 2007 Jun;48(3):305-8.

Abstract

Aim: The aim of the study was to report a 20-year single Institution experience, with the early and late outcomes of surgical treatment of inflammatory abdominal aortic aneurysms.

Methods: In a 20-year period, 2 275 consecutive patients underwent elective surgical repair for non-rupture abdominal aortic aneurysm. Fifty-two patients (2.3%) were classified as inflammatory abdominal aortic aneurysms. Early and late outcomes were analyzed.

Results: One patient died in the perioperative period, giving a mortality rate of 1.92%. One patient died from a pseudoaneurysm rupture 7 months after operation. Three patients developed an aortic pseudoaneurysm in the follow-up period (mean 12.1 years, range 1-20 years) and underwent a redo operation.

Conclusion: Overall surgical outcome of these patients, in terms of short-term and long-term is good. A high rate of pseudoaneurysm formation was observed.

MeSH terms

  • Aged
  • Aneurysm, False / etiology*
  • Aneurysm, False / mortality
  • Aneurysm, False / surgery
  • Aortic Aneurysm, Abdominal / complications
  • Aortic Aneurysm, Abdominal / diagnosis
  • Aortic Aneurysm, Abdominal / mortality
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortitis / diagnosis
  • Aortitis / etiology
  • Aortitis / mortality
  • Aortitis / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Female
  • Follow-Up Studies
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Reoperation
  • Retroperitoneal Fibrosis / diagnosis
  • Retroperitoneal Fibrosis / etiology
  • Retroperitoneal Fibrosis / mortality
  • Retroperitoneal Fibrosis / surgery*
  • Retrospective Studies
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography / methods