Inflammatory aneurysms of the aorta

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Presentation transcript:

Inflammatory aneurysms of the aorta John L. Crawford, M.D., Cary L. Stowe, M.D., Hazim J. Safi, M.D., Charles H. Hallman, B.A., E.Stanley Crawford, M.D. Journal of Vascular Surgery Volume 2, Issue 1, Pages 113-124 (January 1985) DOI: 10.1016/0741-5214(85)90180-6 Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Gross appearance of inflammatory infrarenal abdominal aortic aneurysm seen at operation. A, Free peritoneal surface. B, Incised aneurysm with large cavity and thick anterior walls. Journal of Vascular Surgery 1985 2, 113-124DOI: (10.1016/0741-5214(85)90180-6) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Patient with inflammatory infrarenal abdominal aortic aneurysm. A, CT scan shows typical appearance of inflammatory aneurysm with thickened anterior and lateral walls exterior to line of calcification in media and ureteral entrapment but thin or absent posterior wall. B, Excretory urogram shows mild ureteral obstruction and hydronephrosis. Journal of Vascular Surgery 1985 2, 113-124DOI: (10.1016/0741-5214(85)90180-6) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Patient with inflammatory thoracoabdominal aortic aneurysm. A, CT scan showing typical periaortic and retroperitoneal inflammatory reaction as absent or less posteriorly. B, CT scan of lower thorax does not show mild inflammatory changes in aorta seen at operation. Journal of Vascular Surgery 1985 2, 113-124DOI: (10.1016/0741-5214(85)90180-6) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Patient with separate inflammatory aneurysms of descending thoracic aorta and infrarenal abdominal aorta. A, Drawing and aortogram made before operation showing location and extent of aneurysm. B, Drawing and aortogram made after operation showing grafts in place and functioning. Journal of Vascular Surgery 1985 2, 113-124DOI: (10.1016/0741-5214(85)90180-6) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Ultrasonogram made in (A) longitudinal and (B) transverse positions in one patient showed typical sonolucent halo surrounding abdominal aortic aneurysm. Journal of Vascular Surgery 1985 2, 113-124DOI: (10.1016/0741-5214(85)90180-6) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Patient with infrarenal inflammatory aortic aneurysm. A, Graft in place inside aneurysm. B, Aneurysm covered by suturing aneurysmal wall over graft. Journal of Vascular Surgery 1985 2, 113-124DOI: (10.1016/0741-5214(85)90180-6) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 7 A, CT scan made 10 days after operation shows thick aortic wall surrounding graft and ureteral entrapment. B, Scan made 5 months after operation shows resolution of inflammatory process and freedom of ureters. Journal of Vascular Surgery 1985 2, 113-124DOI: (10.1016/0741-5214(85)90180-6) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions