RT Journal
A1 Moosa HH, Peitzman AB, Steed DL, Julian TB, Jarrett F, Webster MW
T1 INflammatory aneurysms of the abdominal aorta
JF Archives of Surgery
JO Archives of Surgery
YR 1989
FD June 1
VO 124
IS 6
SP 673
OP 675
DO 10.1001/archsurg.1989.01410060035007
UL http://dx.doi.org/10.1001/archsurg.1989.01410060035007
AB • Inflammatory aneurysms of the abdominal aorta (IAAAs) have distinctive clinical and physical characteristics that separate them from typical atherosclerotic aneurysms. They were identified in 19 (7.2%) of 265 patients undergoing abdominal aortic aneurysm repair. Symptoms were present in 12 (63%) of 19, with one patient presenting with rupture, and multiple symptoms were present in six (32%). Intraoperatively, all aneurysms exhibited dense periaortic inflammation. Adjacent structures most frequently involved were the duodenum in 15 (79%) of 19 patients, the left renal vein in six (32%) of 19, and the ureter in five (26%) of 19. Seventeen (94%) of the 18 patients who underwent elective aneurysm resection survived. The involvement of retroperitoneal structures varied in number and severity, demonstrating that a wide spectrum of inflammation is present in IAAAs, making diagnosis and definition difficult.(Arch Surg 1989;124:673-675)