| Periaortic inflammation after endovascular aneurysm repair. | |
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MedLine Citation:
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PMID: 21549935 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: The periaortitis seen with inflammatory abdominal aortic aneurysms usually resolves after repair by both open and endovascular techniques. Conversely, the de novo development of retroperitoneal fibrosis after endovascular aneurysm repair (EVAR) has also been rarely described, and we present a case and also review the literature. METHODS AND RESULTS: A 63-year-old man underwent EVAR for an asymptomatic, noninflammatory abdominal aortic aneurysm, presenting 9 months subsequently with left loin pain, raised inflammatory markers, and radiological evidence of periaortic inflammation causing significant left ureteric obstruction. Ureteric stenting resolved the hydronephrosis, and the periaortitis improved with combination of steroid and tamoxifen therapy. CONCLUSION: Periaortitis causing renal impairment after EVAR is a rare complication. Prompt recognition and ureteric stenting helps to prevent long-term renal damage. Steroid and tamoxifen therapy is recommended to treat and avoid recurrence of periaortitis. |
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Authors:
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Badri Vijaynagar; Greg S McMahon; Mark J McCarthy |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of vascular surgery Volume: 25 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-05-09 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 558.e5-7 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Vascular Surgery, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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