A J McKenna1, M E O'Donnell, A Collins, D W Harkin. 1. Department of Vascular and Endovascular Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA, Northern Ireland, UK.
Abstract
BACKGROUND: Conventional open repair of inflammatory abdominal aortic aneurysms (IAAA) remains challenging through the presence of extensive peri-aortic inflammation and fibrosis which makes dissection and vascular control difficult with a risk of inadvertent injury to adjacent visceral structures such as the ureters, duodenum, inferior vena cava, left renal vein and sigmoid colon. METHODS: We describe a case of a 69-year-old gentleman who presented with acute renal failure due to bilateral ureteric obstruction in association with an IAAA and discuss the various management options available. CONCLUSION: IAAAs and the associated peri-aortic inflammation and fibrosis can be successfully treated using endovascular abdominal aortic aneurysm repair with concurrent ureteric stenting.
BACKGROUND: Conventional open repair of inflammatory abdominal aortic aneurysms (IAAA) remains challenging through the presence of extensive peri-aortic inflammation and fibrosis which makes dissection and vascular control difficult with a risk of inadvertent injury to adjacent visceral structures such as the ureters, duodenum, inferior vena cava, left renal vein and sigmoid colon. METHODS: We describe a case of a 69-year-old gentleman who presented with acute renal failure due to bilateral ureteric obstruction in association with an IAAA and discuss the various management options available. CONCLUSION: IAAAs and the associated peri-aortic inflammation and fibrosis can be successfully treated using endovascular abdominal aortic aneurysm repair with concurrent ureteric stenting.
Authors: A V Sterpetti; W J Hunter; R J Feldhaus; P Chasan; M McNamara; S Cisternino; R D Schultz Journal: J Vasc Surg Date: 1989-05 Impact factor: 4.268
Authors: J Ghosh; D Murray; S Paravastu; F Farquharson; M G Walker; F Serracino-Inglott Journal: Eur J Vasc Endovasc Surg Date: 2008-11-29 Impact factor: 7.069