Abstract

FERREIRA, Joana et al. Inflammatory abdominal aortic aneurysm: review. Angiol Cir Vasc [online]. 2017, vol.13, n.3, pp.23-29. ISSN 1646-706X.

The presence of abdominal or back pain, weight loss and elevated erythrocyte sedimentation rate is characteristic of the inflammatory abdominal aortic aneurysms. Low-grade fever is sometimes identified. Other inflammatory markers, such as white blood cell count, C reactive protein, anti-nuclear antibody and IgG4 levels can be elevated. Computed tomo­graphy is the exam of choice, showing characteristically the mantle sign. Steroids improve the symptomatology and reduce inflammation, but do not treat the aneurysm. The choice of interventions: open surgical repair or endovascular aneurysm repair can be considered according to the available expertise, patient risk factors, anatomic aneurysm criteria and presence of hydronephrosis.

Keywords : Inflammatory abdominal aortic aneurysm; open surgical repair; endovascular aneurysm repair.

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