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Endovascular repair of an inflammatory abdominal aortic aneurysm causing bilateral ureteric obstruction.
MedLine Citation:
PMID:  20835894     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Conventional open repair of inflammatory abdominal aortic aneurysms (IAAA) remains challenging through the presence of extensive peri-aortic inflammation and fibrosis which makes dissection and vascular control difficult with a risk of inadvertent injury to adjacent visceral structures such as the ureters, duodenum, inferior vena cava, left renal vein and sigmoid colon.
METHODS: We describe a case of a 69-year-old gentleman who presented with acute renal failure due to bilateral ureteric obstruction in association with an IAAA and discuss the various management options available.
CONCLUSION: IAAAs and the associated peri-aortic inflammation and fibrosis can be successfully treated using endovascular abdominal aortic aneurysm repair with concurrent ureteric stenting.
Authors:
A J McKenna; M E O'Donnell; A Collins; D W Harkin
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Publication Detail:
Type:  Journal Article     Date:  2010-09-12
Journal Detail:
Title:  Irish journal of medical science     Volume:  181     ISSN:  1863-4362     ISO Abbreviation:  Ir J Med Sci     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806864     Medline TA:  Ir J Med Sci     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  415-8     Citation Subset:  IM    
Affiliation:
Department of Vascular and Endovascular Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA, Northern Ireland, UK.
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