Family history of aortic aneurysm is an independent risk factor for more rapid growth of small abdominal aortic aneurysms in Japan

Purpose: To report two cases of endovascular aortic aneurysm exclusion in patients with a horseshoe kidney. Methods and Results: Two male patients, one with a known horseshoe kidney and history of multiple previous laparotomies, presented with abdominal aortic aneurysms of approximately 6-cm diameter. Each was treated with a tapered aortomonoiliac polytetrafluoroethylene graft secured proximally with a Palmaz balloon-expandable stent. The endograft was sutured distally to a Dacron femorofemoral crossover graft. An anomalous renal vessel was sacrificed in one case. The aneurysms were successfully excluded, and the patients recovered without sequelae. Conclusions: Endovascular repair should be considered as a treatment option in patients with aortic aneurysm in the presence of a horseshoe kidney, particularly if the renal vasculature can be wholly preserved.

Download Full-text

Abdominal aortic aneurysm (AAA)

Current Surgical Guidelines ◽

10.1093/med/9780198794769.003.0048 ◽

2018 ◽

pp. 461-468

Author(s):

Abdullah Jibawi ◽

Mohamed Baguneid ◽

Arnab Bhowmick

Keyword(s):

Risk Factors ◽

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Incidental Findings ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Endovascular Stents ◽

Abdominal Aortic ◽

History Of ◽

Old Men

Abdominal aortic aneurysms (AAA) are mostly asymptomatic and incidental findings on routine scans. The national screening programme currently offers scans to 65-year-old men. This chapter explores the risk factors and natural history of AAA. It describes the recommended investigations and management of AAA according to the presentation if symptomatic or size if asymptomatic. Treatment of AAA includes both traditional surgical repair or endovascular stents.

Download Full-text

Aortic Aneurysm Eroding into the Spine

Aorta ◽

10.1055/s-0038-1669416 ◽

2018 ◽

Vol 06 (02) ◽

pp. 068-069

Author(s):

T. Rajab ◽

Miriam Beyene ◽

Farhang Yazdchi ◽

Matthew Menard

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Abdominal Mass ◽

Abdominal Aortic Aneurysms ◽

Aneurysm Rupture ◽

Aortic Aneurysms ◽

Abdominal Aortic ◽

Acute Back Pain ◽

History Of ◽

Ruptured Abdominal Aortic Aneurysms

AbstractAortic aneurysms are usually asymptomatic until catastrophic rupture occurs. Ruptured abdominal aortic aneurysms classically present with acute back pain, shock, and a pulsatile abdominal mass. The natural history of some aortic aneurysms also includes a stage of contained rupture. This occurs when extravasation of blood from the ruptured aneurysm is contained by surrounding tissues. Here, the authors report the case of a chronic contained abdominal aortic aneurysm rupture that resulted in erosion of the spine.

Download Full-text

Abdominal Aortic Diameter Is Increased in Males with a Family History of Abdominal Aortic Aneurysms: Results from the Danish VIVA-trial

European Journal of Vascular and Endovascular Surgery ◽

10.1016/j.ejvs.2014.09.005 ◽

2014 ◽

Vol 48 (6) ◽

pp. 669-675 ◽

Cited By ~ 26

Author(s):

T.M.M. Joergensen ◽

K. Houlind ◽

A. Green ◽

J.S. Lindholt

Keyword(s):

Family History ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Aortic Diameter ◽

Abdominal Aortic ◽

History Of

Download Full-text

Current evidence and prospects for medical treatment of abdominal aortic aneurysms

VASA ◽

10.1024/0301-1526.34.4.217 ◽

2005 ◽

Vol 34 (4) ◽

pp. 217-223 ◽

Cited By ~ 11

Author(s):

Diehm ◽

Schmidli ◽

Dai-Do ◽

Baumgartner

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Medical Treatment ◽

Endovascular Treatment ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Current Evidence ◽

Significant Morbidity ◽

Abdominal Aortic ◽

Risk Of Rupture

Abdominal aortic aneurysm (AAA) is a potentially fatal condition with risk of rupture increasing as maximum AAA diameter increases. It is agreed upon that open surgical or endovascular treatment is indicated if maximum AAA diameter exceeds 5 to 5.5cm. Continuing aneurysmal degeneration of aortoiliac arteries accounts for significant morbidity, especially in patients undergoing endovascular AAA repair. Purpose of this review is to give an overview of the current evidence of medical treatment of AAA and describe prospects of potential pharmacological approaches towards prevention of aneurysmal degeneration of small AAAs and to highlight possible adjunctive medical treatment approaches after open surgical or endovascular AAA therapy.

Download Full-text

Morphological and Biomechanical Features in Abdominal Aortic Aneurysm with Long and Short Neck—Case-Control Study in 64 Abdominal Aortic Aneurysms

Annals of Vascular Surgery ◽

10.1016/j.avsg.2017.06.054 ◽

2017 ◽

Vol 45 ◽

pp. 223-230

Author(s):

Igor B. Koncar ◽

Dalibor Nikolic ◽

Zarko Milosevic ◽

Nikola Ilic ◽

Marko Dragas ◽

...

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Case Control Study ◽

Abdominal Aortic Aneurysms ◽

Case Control ◽

Aortic Aneurysms ◽

Short Neck ◽

Abdominal Aortic ◽

Biomechanical Features ◽

Control Study

Download Full-text

A Case Report on the Successful Treatment ofStreptococcus pneumoniae-Induced Infectious Abdominal Aortic Aneurysm Initially Presenting with Meningitis

Case Reports in Surgery ◽

10.1155/2015/825069 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6

Author(s):

Yohei Kawatani ◽

Yoshitsugu Nakamura ◽

Yujiro Hayashi ◽

Tetsuyoshi Taneichi ◽

Yujiro Ito ◽

...

Keyword(s):

Computed Tomography ◽

Abdominal Aortic Aneurysm ◽

Back Pain ◽

Streptococcus Pneumoniae ◽

Aortic Aneurysm ◽

Successful Treatment ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Limb Weakness ◽

Abdominal Aortic

Infectious abdominal aortic aneurysms often present with abdominal and lower back pain, but prolonged fever may be the only symptom. Infectious abdominal aortic aneurysms initially presenting with meningitis are extremely rare; there are no reports of their successful treatment. Cases withStreptococcus pneumoniaeas the causative bacteria are even rarer with a higher mortality rate than those caused by other bacteria. We present the case of a 65-year-old man with lower limb weakness and back pain. Examination revealed fever and neck stiffness. Cerebrospinal fluid showed leukocytosis and low glucose levels. The patient was diagnosed with meningitis and bacteremia caused byStreptococcus pneumoniaeand treated with antibiotics. Fever, inflammatory response, and neurologic findings showed improvement. However, abdominal computed tomography revealed an aneurysm not present on admission. Antibiotics were continued, and a rifampicin soaked artificial vascular graft was implanted. Tissue cultures showed no bacteria, and histological findings indicated inflammation with high leukocyte levels. There were no postoperative complications or neurologic abnormalities. Physical examination, blood tests, and computed tomography confirmed there was no relapse over the following 13 months. This is the first reported case of survival of a patient with an infectious abdominal aortic aneurysm initially presenting with meningitis caused byStreptococcus pneumoniae.

Download Full-text