INFLAMMATORY ABDOMINAL AORTIC ANEURYSM: REVIEW

  • Joana Ferreira Serviço de Angiologia e Cirurgia Vascular — Hospital da Senhora da Oliveira Guimarães EPE
  • Sandrina Braga Serviço de Angiologia e Cirurgia Vascular — Hospital da Senhora da Oliveira Guimarães EPE
  • Celso Carrilho Serviço de Angiologia e Cirurgia Vascular — Hospital da Senhora da Oliveira Guimarães EPE
  • João Correia Simões Serviço de Angiologia e Cirurgia Vascular — Hospital da Senhora da Oliveira Guimarães EPE
  • Amílcar Mesquita Serviço de Angiologia e Cirurgia Vascular — Hospital da Senhora da Oliveira Guimarães EPE
Keywords: Inflammatory abdominal aortic aneurysm, open surgical repair, endovascular aneurysm repair

Abstract

The presence of abdominal or back pain, weight loss and elevated erythrocyte sedimentation rate is characteristic of the inflammatory abdominal aortic aneurysms. Low-grade fever is sometimes identified. Other inflammatory markers, such as white blood cell count, C reactive protein, anti-nuclear antibody and IgG4 levels can be elevated. Computed tomography is the exam of choice, showing characteristically the mantle sign. Steroids improve the symptomatology and reduce inflammation, but do not treat the aneurysm. The choice of interventions: open surgical repair or endovascular aneurysm repair can be considered according to the available expertise, patient risk factors, anatomic aneurysm criteria and presence of hydronephrosis.

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Published
2017-09-30
Section
Review Article