Novel Management of Peri-Aortitis after Endovascular Repair of Abdominal Aortic Aneurysm. (2019)

• Record Type: Journal Article
• Authors: Trinder, Matthew; Mwipatayi, Bibombe P.; Siew, Teck; Lim, Andrew; Altaf, Nishath
• Is Part Of: EJVES short reports. Volume 45(2019)
• Page Start: 34
• Page End: 37
• Publication Date: 2019
• Subjects: Abdominal aortic aneurysm -- Endovascular aneurysm repair -- Peri-aortitis -- Treatment; Endoscopic surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; 617.413005
• DOI: 10.1016/j.ejvssr.2019.10.002
• Languages: English
• ISSNs: 2405-6553

Abstract

Abstract : Introduction: The management of peri-aortitis, a rare complication after endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms (AAA), is described in a patient with a solitary kidney. Report: A 64 year old man who developed peri-aortitis after elective EVAR for a 6.6 cm infrarenal AAA is reported. Peri-aortitis was diagnosed two months after the procedure and was successfully treated with corticosteroids. Conclusion: There is no clear consensus on the best medical therapy for peri-aortitis secondary to EVAR. Peri-aortitis must be considered in patients with ongoing systemic symptoms of inflammation after EVAR, and early management is crucial to the early resolution of symptoms. Highlights: Peri-aortitis is a rare complication after endovascular aortic aneurysm repair. Peri-aortitis commonly presents with abdominal pain or ureteric obstruction. Peri-aortitis can be diagnosed with positron emission tomography-computed tomography and labelled white cell scan. Peri-aortitis can be treated appropriately with oral steroids.