• 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


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.


Download data is not yet available.


1. Capoccia L, Riambau V. Endovascular repair versus open repair for
inflammatory abdominal aortic aneurysms. Cochrane Database
Syst Rev. 2015 Apr 16;(4).
2. Hellmann DB1, Grand DJ, Freischlag JA Inflammatory abdominal
aortic aneurysm. JAMA. 2007 Jan 24;297(4):395–400.
3. Rasmussen TE, Hallett JW Jr. Inflammatory aortic aneurysms. A
clinical review with new perspectives in pathogenesis. Ann Surg.
1997 Feb;225(2):155–64.
4. Ketha SS, Warrington KJ, McPhail IR. Inflammatory abdominal
aortic aneurysm: a case report and review of literature. Vasc
Endovascular Surg. 2014 Jan;48(1):65–9.
5. Igari K, Kudo T, Uchiyama H, Toyofuku T, Inoue Y. Progression
of perianeurysmal inflammation after endovascular aneurysm
repair for inflammatory abdominal aortic and bilateral common
iliac artery aneurysms. Ann Vasc Surg. 2015 Feb;29(2):364.e1–4.
6. Paravastu SC, Ghosh J, Murray D, Farquharson FG, Serracino-Inglott
F, Walker MG. A systematic review of open versus endovascular
repair of inflammatory abdominal aortic aneurysms. Eur J
Vasc Endovasc Surg. 2009 Sep;38(3):291–7.
7. Georgakarakos E, Schoretsanitis N, Koufopoulos G, Paulou K,
Lazarides MK. Abdominal Pain in the Presence of Small Abdominal
Aortic Aneurysms: If in Doubt, Cut It Out!Ann Vasc Surg. 2017
8. Nuellari E, Prifti E, Esposito G, Kapedani E. Surgical treatment of
inflammatory abdominal aortic aneurysms: outcome and predictors
analysis. Med Arch. 2014 Aug;68(4):244–8.
9. Massoni CB, Stein P, Schernthaner M, Gallitto E, Rengier F, Katzen
BT et al. Endovascular Treatment of Inflammatory Infrarenal
Aortic Aneurysms. Vascular and Endovascular Surgery. 2016, Vol.
50(1) 21–28.
10. Speziale F, Sbarigia E, Grossi R, Maraglino R, Maraglino C, Fioroni
P. Inflammatory Aneurysms of the Abdominal Aorta Involving the
Ureters: Is Combined Treatment Really Necessary? The Journal of
Urology. 2001, Vol. 165: 27–31.
11. McKenna AJ, O’Donnell ME, Collins A, Harkin DW. Endovascular
repair of an inflammatory abdominal aortic aneurysm causing
bilateral ureteric obstruction. Ir J med Sci.2012, Vol 181: 415–418.
12. Tang T, Boyle JR, Dixon Ak, Varty K. Inflammatory Abdominal
Aortic Aneurysm. Eur J Vasc Endovasc Surg.2005, Vol 29: 353–362.
13. Memon NA, Talpur AA, Memon JM. Indication and Complications
of Indwelling Ureteral stenting at NMCH, Nawasbshah. Pakistan
Journal of Surgery. 2007, Vol 23 (3): 187–191.
14. Pansota M, Rasool M, Saleem M, Tabassum S, Hussain. Indications
and complications of Double J Ureteral Stenting. Gomal Journal of
Medical Sciences.2011, Vol 11(1):8–12.
15. Kakkos SK, Papazoglou KO, Tsolakis IA, Lampropoulos G, Papadopoulos
SI, Antoniadis PV. Open Versus Endovascular Repair of
Inflammatory Abdominal Aortic Aneurysms: A Comparative Study
and Meta-Analysis of the Literature. Vascular and Endovascular
Surgery. 2015, Vol. 49(5–6) 110–118
16. Stone WM, Fankhauser GT, Bower TC, Oderich GS, Oldenburg WA,
Kalra M, et al. Comparison of open and endovascular repair of in
ammatory aortic aneurysms. J Vasc Surg. 2012; 56: 951–956.
17. Ferreira J, Fructuoso M, Sepúlveda L, Salvador F. Acute Kidney
Injury after Endovascular Inflammatory Abdominal Aortic
Aneurysm Repair : A Case Report. Annals of Clinical Case Reports.
2016, Vol.1 (116).
Review Article