Novel Management of Peri-Aortitis after Endovascular Repair of Abdominal Aortic Aneurysm
| Autor: | Bibombe P. Mwipatayi, Nishath Altaf, Andrew Lim, Matthew W Trinder, Teck Siew |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Solitary kidney Peri Short Report 030204 cardiovascular system & hematology Endovascular aneurysm repair 03 medical and health sciences 0302 clinical medicine medicine In patient cardiovascular diseases 030212 general & internal medicine Aortitis business.industry medicine.disease Abdominal aortic aneurysm Surgery Treatment cardiovascular system Peri-aortitis Cardiology and Cardiovascular Medicine Complication business Medical therapy |
| Zdroj: | EJVES Short Reports |
| ISSN: | 2405-6553 |
| DOI: | 10.1016/j.ejvssr.2019.10.002 |
| Popis: | Introduction The management of peri-aortitis, a rare complication after endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms (AAA), is described in a patient with a solitary kidney. Report A 64 year old man who developed peri-aortitis after elective EVAR for a 6.6 cm infrarenal AAA is reported. Peri-aortitis was diagnosed two months after the procedure and was successfully treated with corticosteroids. Conclusion There is no clear consensus on the best medical therapy for peri-aortitis secondary to EVAR. Peri-aortitis must be considered in patients with ongoing systemic symptoms of inflammation after EVAR, and early management is crucial to the early resolution of symptoms. Highlights • Peri-aortitis is a rare complication after endovascular aortic aneurysm repair. • Peri-aortitis commonly presents with abdominal pain or ureteric obstruction. • Peri-aortitis can be diagnosed with positron emission tomography-computed tomography and labelled white cell scan. • Peri-aortitis can be treated appropriately with oral steroids. |
| Databáze: | OpenAIRE |
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