ORIGINAL ARTICLES   

Chirurgia 2004 August;17(4):115-8

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: Italian

Inflammatory abdominal aortic aneurysms: a 10 years review

Micheletti E., Placino M., Bianco G., Laezza F., Platì S., de Donato G. M., de Donato G.

Personal experience about inflammatory aneurysms is reported; this pathology is a variance of the abdominal aortic aneurysms, with an incidence of 5%. This result is confirmed by 10 years experience carried out at our Vascular Surgery Division: 15/275 cases. Etiopathogenesis of inflammatory aneurysms is still debated, as well as the clinical-developing behavior appears peculiar. Abdominal pain is present in 80% of patients and it is associated with a VES increase and less with slimming. The remarkable inflammatory reaction, which involves the aneurysmatic lesion and the surrounding organs (duodenum, inferior vena cava, ureters), makes any surgical approach difficult. A reduced dissection of abdominal viscera becomes necessary in order to avoid any sort of lesion. The conventional approach is trans-peritoneal, through xifo-pubic incision. The highest perioperative mortality of this pathology is correlated to above-mentioned difficulties and to the inadequate preparation of the patient, with a clinical picture of rupture, in case of emergency surgical treatment.