P Jetty, MD, G.G Barber, MD Journal of Vascular Surgery

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Presentation transcript:

Aortitis and bilateral ureteral obstruction after endovascular repair of abdominal aortic aneurysm P Jetty, MD, G.G Barber, MD Journal of Vascular Surgery Volume 39, Issue 6, Pages 1344-1347 (June 2004) DOI: 10.1016/j.jvs.2004.02.030

Fig 1 Initial preoperative computed tomography scan reveals a normal 5.4-cm infrarenal AAA. Journal of Vascular Surgery 2004 39, 1344-1347DOI: (10.1016/j.jvs.2004.02.030)

Fig 2 Preoperative angiogram. Journal of Vascular Surgery 2004 39, 1344-1347DOI: (10.1016/j.jvs.2004.02.030)

Fig 3 Postoperative computed tomography scan at 1-month follow-up reveals an excluded AAA without evidence of endoleak. Journal of Vascular Surgery 2004 39, 1344-1347DOI: (10.1016/j.jvs.2004.02.030)

Fig 4 Computed tomography scan obtained at admission with acute renal failure at 5 months postoperatively reveals a 1.5-cm inflamed and thickened aneurysm wall. Journal of Vascular Surgery 2004 39, 1344-1347DOI: (10.1016/j.jvs.2004.02.030)

Fig 5 Computed tomography scan obtained 5 months after treatment of acute renal failure with bilateral ureteral stents, and prednisone and tamoxifen. Note almost complete resolution of the inflammatory process in the wall of the aneurysm. Journal of Vascular Surgery 2004 39, 1344-1347DOI: (10.1016/j.jvs.2004.02.030)

Fig 6 Computed tomography scan obtained at 2-year follow-up. Note evidence of mild recurrent inflammation in the wall of the aneurysm. There is no evidence of endoleak, and the diameter of the AAA is 5.2 cm. The patient was receiving only tamoxifen therapy at this time. Journal of Vascular Surgery 2004 39, 1344-1347DOI: (10.1016/j.jvs.2004.02.030)