Inflammatory abdominal aortic aneurysms: A case-control study

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Presentation transcript:

Inflammatory abdominal aortic aneurysms: A case-control study Samy S. Nitecki, MD, John W. Hallett, MD, Anthony W. Stanson, MD, Duane M. Ilstrup, MS, Thomas C. Bower, MD, Kenneth J. Cherry, MD, Peter Gloviczki, MD, Peter C. Pairolero, MD Journal of Vascular Surgery Volume 23, Issue 5, Pages 860-869 (May 1996) DOI: 10.1016/S0741-5214(96)70249-5 Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 A, CT scan of typical thick wall of inflammatory AAA. B, Ultrasound scan shows thick wall (“halo”) of same inflammatory AAA. C, Intraoperative findings reveal thick, white, glistening aneurysm wall that is usually densely adherent to duodenum. Journal of Vascular Surgery 1996 23, 860-869DOI: (10.1016/S0741-5214(96)70249-5) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 A, CT scan of typical thick wall of inflammatory AAA. B, Ultrasound scan shows thick wall (“halo”) of same inflammatory AAA. C, Intraoperative findings reveal thick, white, glistening aneurysm wall that is usually densely adherent to duodenum. Journal of Vascular Surgery 1996 23, 860-869DOI: (10.1016/S0741-5214(96)70249-5) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 A, CT scan of typical thick wall of inflammatory AAA. B, Ultrasound scan shows thick wall (“halo”) of same inflammatory AAA. C, Intraoperative findings reveal thick, white, glistening aneurysm wall that is usually densely adherent to duodenum. Journal of Vascular Surgery 1996 23, 860-869DOI: (10.1016/S0741-5214(96)70249-5) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Most common anatomic structures attached to the inflammatory aneurysm wall (n = 29). Journal of Vascular Surgery 1996 23, 860-869DOI: (10.1016/S0741-5214(96)70249-5) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Kaplan-Meier survival curves for inflammatory (n = 29; n = 8 at 5 years follow-up) and noninflammatory abdominal aortic aneurysms (n = 58; n = 19 at 5 years follow-up). Journal of Vascular Surgery 1996 23, 860-869DOI: (10.1016/S0741-5214(96)70249-5) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Serial postoperative CT scans of inflammatory AAA in 64-year-old man. A, Six-week postoperative scan shows residual inflammatory rind around Dacron aortic graft. B, Nine-month postoperative scan shows resolution of inflammatory rind. Journal of Vascular Surgery 1996 23, 860-869DOI: (10.1016/S0741-5214(96)70249-5) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Serial postoperative CT scans of inflammatory AAA in 64-year-old man. A, Six-week postoperative scan shows residual inflammatory rind around Dacron aortic graft. B, Nine-month postoperative scan shows resolution of inflammatory rind. Journal of Vascular Surgery 1996 23, 860-869DOI: (10.1016/S0741-5214(96)70249-5) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 This 65-year-old man had a 6.8-cm inflammatory AAA, occlusive uropathy, and a serum creatinine level of 4.7 mg/dl. A, Preoperative CT scan. B, Postoperative scan at 5 months with residual inflammation but entrapped ureters that required stenting. Journal of Vascular Surgery 1996 23, 860-869DOI: (10.1016/S0741-5214(96)70249-5) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 This 65-year-old man had a 6.8-cm inflammatory AAA, occlusive uropathy, and a serum creatinine level of 4.7 mg/dl. A, Preoperative CT scan. B, Postoperative scan at 5 months with residual inflammation but entrapped ureters that required stenting. Journal of Vascular Surgery 1996 23, 860-869DOI: (10.1016/S0741-5214(96)70249-5) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions