腹主动脉瘤血管内修复术后的主动脉炎和双侧输尿管梗阻

Aortitis and bilateral ureteral obstruction after endovascular repair of abdominal aortic aneurysm.

作者信息

Jetty P, Barber G G

机构信息

Division of Vascular Surgery, The Ottawa Hospital, University of Ottawa, Civic Campus A-280, 1053 Carling Avenue, Ottawa, Ontario K1Y 4E9, Canada.

出版信息

J Vasc Surg. 2004 Jun;39(6):1344-7. doi: 10.1016/j.jvs.2004.02.030.

DOI:10.1016/j.jvs.2004.02.030

PMID:15192579

Abstract

A bifurcated stent graft was used to treat an asymptomatic 5.4-cm abdominal aortic aneurysm in a 76-year-old man. No endoleaks or inflammatory changes were seen on the 1-month follow-up computed tomography scan. Five months later the patient had acute renal failure and ureteral obstruction secondary to significant inflammatory changes in the aneurysm wall. After bilateral ureteral stenting, conservative treatment included tamoxifen and steroid therapy. The patient remains symptom-free, and at 2-year follow-up a computed tomography scan demonstrated decreased inflammation and shrinkage of the excluded abdominal aortic aneurysm.

摘要

采用分叉型支架型人工血管治疗一名76岁男性无症状的5.4厘米腹主动脉瘤。1个月后的计算机断层扫描未发现内漏或炎症改变。5个月后，患者因动脉瘤壁显著炎症改变继发急性肾衰竭和输尿管梗阻。双侧输尿管支架置入术后，保守治疗包括他莫昔芬和类固醇治疗。患者目前无症状，2年随访时计算机断层扫描显示被隔绝的腹主动脉瘤炎症减轻且缩小。