Mansour Wassim, Capoccia Laura, Garofano Roberta, Pranteda Chiara, Speziale Francesco
Vascular and Endovascular Surgery Division, Department of Surgery "Paride Stefanini", "Sapienza" University of Rome, Policlinico Umberto I, Rome, Italy.
Vascular and Endovascular Surgery Division, Department of Surgery "Paride Stefanini", "Sapienza" University of Rome, Policlinico Umberto I, Rome, Italy.
Ann Vasc Surg. 2015 Jan;29(1):127.e1-4. doi: 10.1016/j.avsg.2014.08.009. Epub 2014 Oct 7.
Endovascular treatment of abdominal aortic aneurysm (EVAR) represents a good alternative to open surgery, also in patients who present inflammatory abdominal aortic aneurysm, resulting in reduction of the inflammatory process in many cases. Instead, the onset of periaortic inflammation after EVAR is a rare event with an unclear pathogenesis, time of onset, and clinical presentation. This is a case report of a very early onset of periaortitis after EVAR with inferior vena cava involvement and stretching, resulting in lower limb swelling and back pain, treated by corticosteroid drug with a good remission of the pathology.
腹主动脉瘤的血管内治疗（EVAR）是开放手术的一种良好替代方案，对于患有炎性腹主动脉瘤的患者也是如此，在许多情况下可减轻炎症过程。相反，EVAR术后主动脉周围炎症的发生是一种罕见事件，其发病机制、发病时间和临床表现尚不清楚。本文报告一例EVAR术后极早期发生的主动脉周炎，累及下腔静脉并使其扩张，导致下肢肿胀和背痛，经皮质类固醇药物治疗后病情得到良好缓解。
