Durability of open repair of infrarenal abdominal aortic aneurysm: A 15-year follow-up study

Biancari, Fausto; Ylönen, Kari; Anttila, Vesa; Juvonen, Jukka; Romsi, Pekka; Satta, Jari; Juvonen, Tatu

doi:10.1067/mva.2002.119751

Cited by 57 publications

(31 citation statements)

References 24 publications

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“…Hallett reported a 9.4% graft-related complication rate (mostly anastomotic pseudoaneurysms) after open AAA repair at an average follow-up of 5.8 years with late surveillance imaging on most patients (Hallett et al, 1997). Finally, Biancari et al report of a 15.4% late graft-related complication rate with a median follow-up of 8 years (Biancari et al, 2002). This is significantly worse than the previous reports and may be related to the inclusion of ruptured AAA repairs.…”

Section: Incidence Of Anastomotic Aneurysmcontrasting

confidence: 48%

Late Complications Following Aortic Aneurysm Repair

Zeeland¹,

Laan²

2011

Diagnosis, Screening and Treatment of Abdominal, Thoracoabdominal and Thoracic Aortic Aneurysms

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Section: Incidence Of Anastomotic Aneurysmcontrasting

confidence: 48%

Late Complications Following Aortic Aneurysm Repair

Zeeland¹,

Laan²

2011

Diagnosis, Screening and Treatment of Abdominal, Thoracoabdominal and Thoracic Aortic Aneurysms

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“…A complication rate of 9.4%, especially in a patient such as ours, who was a poor candidate for surgery, has been reported [9,14,22].…”

Section: Discussionmentioning

confidence: 99%

“…Rupture of an AAA is a surgical emergency with a mortality rate, if untreated, of 90% at 6 weeks and an operative mortality rate of 30% to 60% [6][7][8][9]. In patients without hypertension [1,[10][11][12], a sealed aneurism could occur, without any significant change in blood values because of restricted blood loss.…”

Section: Discussionmentioning

confidence: 99%

Chronic Contained Rupture of an Abdominal Aortic Aneurysm: From Diagnosis to Endovascular Resolution

Gandini

Chiocchi

Maresca

et al. 2007

Cardiovasc Intervent Radiol

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A male patient, 69 years old, presented with fever, leucocytosis, and persistent low back pain; he also had an abdominal aortic aneurysm (AAA), as previously diagnosed by Doppler UltraSound (US), and was admitted to our hospital. On multislice computed tomography (msCT), a large abdominal mass having no definite border and involving the aorta and both of the psoas muscles was seen. This mass involved the forth-lumbar vertebra with lysis, thus simulating AAA rupture into a paraspinal collection; it was initially considered a paraspinal abscess. After magnetic resonance imaging examination and culture of the fluid aspirated from the mass, no infective organisms were found; therefore, a diagnosisof chronically contained AAA rupture was made, and an aortic endoprosthesis was subsequently implanted. The patient was discharged with decreased lumbar pain. At 12-month follow-up, no evidence of leakage was observed. To our knowledge, this is the first case of endoprosthesis implantation in a patient, who was a poor candidate for surgical intervention due to renal failure, leucocytosis and high fever, having a chronically contained AAA ruptured simulatingspodilodiscitis abscess. Appropriate diagnosis and therapy resolved potentially crippling pathology and avoided surgical graftrelated complications.

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“…Fontaine et al [18], observed aneurysm formation proximally to the prosthesis in 32% of patients 10.3 years after AAA repair. Biancari et al [19] found that in 15 year follow-up 12.5% of study group had any new aortic aneurysm and nearly 3% of all had TAAA. Thus, after open operation of AAA all patients must be under surveillance with at least periodic ultrasound examination.…”

Section: Discussionmentioning

confidence: 99%