Abdominal aortic aneurysm in the African patient

Penn, Israel

doi:10.1002/bjs.18005022408

Cited by 15 publications

(1 citation statement)

References 17 publications

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“…Aortic aneurysms are known to be uncommon in a black African population. 11 Costa and Robbs reported 60 aneurysms seen at this institution in a 5-year period, 12 only 34% of which were atherosclerotic. Takayasu's disease predominated as a cause of nonatherosclerotic aneurysms (63%), followed by tuberculosis (18.2%), intimomedial mucoid degeneration (9.1%), syphilis (4.5%), and mycotic aneurysm (4.5%).…”

Section: Discussionmentioning

confidence: 95%

Arterial aneurysms in patients infected with human immunodeficiency virus: A distinct clinicopathology entity?

Nair¹,

Abdool-Carrim²,

Chetty³

et al. 1999

Journal of Vascular Surgery

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Arterial aneurysms have only recently been associated with the human immunodeficiency virus (HIV). The clinical and pathological features of 10 HIV-positive patients with arterial aneurysms were retrospectively evaluated. These aneurysms were unusual in that they affected young black patients, occurred in atypical sites, and tended toward multiplicity. Surgery was performed in eight patients. Acute and chronic inflammatory changes were revealed by means of histologic examination of the aneurysm walls, with occlusion of the vasa vasora by inflammatory infiltrate or edema being a prominent feature. Culture of the aneurysm wall or thrombus yielded positive results in two patients. The association between HIV and aneurysms may be coincidental, caused by direct viral action or by bacterial infection resulting from immunosuppression. Implications for therapy are discussed, and the need for further study is highlighted.

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Section: Discussionmentioning

confidence: 95%

Arterial aneurysms in patients infected with human immunodeficiency virus: A distinct clinicopathology entity?

Nair¹,

Abdool-Carrim²,

Chetty³

et al. 1999

Journal of Vascular Surgery

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Abdominal aneurysm in South African Negroes due to intimomedial mucoid degeneration

Decker

Samson

Schmaman

1977

Journal of British Surgery

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Nine South African Negroes with abdominal aortic aneurysms due to intimomedial mucoid degeneration are described. These occurred in a younger age group than atherosclerotic aneurysms and with a female predominance. The aneurysms are not syphilitic in origin and are unlike atherosclerotic aneurysms. This form of abdominal aneurysm constitutes a distinct entity which is relatively prevalent in South African Negroes and which has hitherto received little or no emphasis and attention.

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Abdominal aneurysms in a black population: Clinicopathological study

Costa

Robbs

1986

Journal of British Surgery

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With exclusion of vascular trauma 2182 patients (1302 black and 880 white) have been treated in our Vascular Service over a period of 3 years. Sixty black patients (4.6 per cent) and 260 white patients (29.5 per cent) presented with aneurysms of the aorta and its abdominal branches. The aneurysms in the black group were distributed as follows: 50 aortic (9 suprarenal, 41 infrarenal), 6 common iliac artery, 2 superior mesenteric and 2 renal artery aneurysms. None of the 260 aneurysms seen in white patients involved arteries other than the aorta (16 suprarenal, 244 infrarenal). In the black group there was an almost equal distribution among sexes, whereas in the white group there was a male to female ratio of 2:1. The mean age was 49.4 years among the black patients, and 67.1 years among the white patients. Surgery was performed on 47 black patients and 245 white patients. Among the black patients 16 aneurysms were atherosclerotic (34 per cent), 22 were of non-atherosclerotic origin (47 per cent) and 9 were of uncertain nature (19 per cent). Of the 22 non-atherosclerotic aneurysms 14 were due to non-specific aorto-arteritis, 4 were due to tuberculous arteritis, 2 were due to intimomedial mucoid degeneration, 1 was due to syphilitic aortitis and 1 was a mycotic aneurysm. In the white group 243 aneurysms were atherosclerotic and 2 had changes of intimomedial mucoid degeneration. All aneurysms were treated along standard surgical lines, antituberculous treatment was initiated when appropriate. It was concluded that abdominal aneurysm is an uncommon disease in black patients. When it occurs a more heterogeneous pathology can be expected with an unusually high prevalence of aorto-arteritis compared with the white population.

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Abdominal aortic aneurysm in the African patient

Abstract: Left common carotid ConservativeBoth renal left sub-Conservative and left renal artery clavian, cirotid, and vertebral arteries

Cited by 15 publications

References 17 publications

Arterial aneurysms in patients infected with human immunodeficiency virus: A distinct clinicopathology entity?

Arterial aneurysms in patients infected with human immunodeficiency virus: A distinct clinicopathology entity?

Abdominal aneurysm in South African Negroes due to intimomedial mucoid degeneration

Abdominal aneurysms in a black population: Clinicopathological study

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