Abstract
The prevalence of inflammatory abdominal aortic aneurysms (IAAA) in autopsy material ranges between 2.5 and 10% of all aneurysms. Clinical findings, the distinction between inflammatory and degenerative aneurysms, and epidemiological data are uncertain, and only a few long-term follow-up studies of patients after surgical treatment of IAAAs exist. In this study, 19 patients underwent either emergency or elective surgery for IAAA during the 10-year period between 1983 and 1993 at Helsinki University Central Hospital. Demographics, symptoms, and operative and follow-up data were collected retrospectively with emphasis on the long-term outcome of IAAA. Causes of late death were available from hospital records and the central statistical office of Finland. For survival analysis we compared ruptured versus nonruptured and emergency versus elective cases of IAAAs. Mean follow-up for the 18 surviving patients (1 hospital death) was 7.4 years. One patient (5%) died of a long-term complication of the aneurysmal disease. There was no statistically significant difference in survival rates for emergency versus elective surgery cases or ruptured versus nonruptured aneurysms. The most common cause of late death was myocardial infarction. The hospital stay mortality (5%) and morbidity (31%), and the survival rate of 26% at 5 years for ruptured and 65% and 43% for nonruptured IAAAs at 5 years and 10 years, respectively, are comparable to normal AAA survival rates. These findings show that surgery is recommended, especially as ruptures also occur in this subgroup of aneurysms.
Similar content being viewed by others
References
JP Lacquet H Lacroix A Nevelsteen et al. (1997) ArticleTitleInflammatory abdominal aortic aneurysms. A retrospective study of 110 cases Acta Chir Belg 97 286–292 Occurrence Handle1:STN:280:DyaK1c7hvVKntw%3D%3D Occurrence Handle9457319
TGI James (1935) ArticleTitleUraemia due to aneurysm of the abdominal aorta Br J Urol 7 157 Occurrence Handle10.1111/j.1464-410X.1935.tb11283.x
K Zimmermann HJ Leu (1975) ArticleTitleDie Aneurysm der Aorta Vasa 4 271–277 Occurrence Handle1:STN:280:CSmD3snhtlA%3D Occurrence Handle1179830
H Bengtsson D Bergqvist NH Sternby (1992) ArticleTitleIncreasing prevalence of abdominal aortic aneurysms. A necropsy study Eur J Surg 158 19–23 Occurrence Handle1:STN:280:By2B38zhvFc%3D Occurrence Handle1348634
HJ Leu (1990) ArticleTitleInflammatory abdominal aortic aneurysms: a disease entity? Histological analysis of 60 cases of inflammatory aortic aneurysms of unknown aetiology Virchows Arch A Pathol Anat Histopathol 417 427–433 Occurrence Handle10.1007/BF01606031 Occurrence Handle1:STN:280:By6D2cbktFM%3D Occurrence Handle1978436
JL Crawford CL Stowe HJ Safi et al. (1985) ArticleTitleInflammatory aneurysms of the aorta J Vasc Surg 2 113–124 Occurrence Handle10.1067/mva.1985.avs0020113 Occurrence Handle1:STN:280:BiqD1czivVI%3D Occurrence Handle3880827
ES Haug JF Skomsvoll G Jacobsen et al. (2003) ArticleTitleInflammatory aortic aneurysm is associated with increased incidence of autoimmune disease J Vasc Surg 38 492–497 Occurrence Handle10.1016/S0741-5214(03)00340-9 Occurrence Handle1:STN:280:DC%2BD3svitlOgtw%3D%3D Occurrence Handle12947264
JA Salo S Soisalon-Soininen S Bondestam et al. (1999) ArticleTitleFamilial occurrence of abdominal aortic aneurysm Ann Intern Med 130 637–642 Occurrence Handle1:STN:280:DyaK1M3htlyquw%3D%3D Occurrence Handle10215559
DI Walker K Bloor G Williams et al. (1972) ArticleTitleInflammatory aneurysms of the abdominal aorta Br J Surg 59 609–614 Occurrence Handle1:STN:280:CSyD3c7htlQ%3D Occurrence Handle5069199
MJ Mitchinson (1984) ArticleTitleChronic periaortitis and periarteritis Histopathology 8 589–600 Occurrence Handle1:STN:280:BiqD3cris1Y%3D Occurrence Handle6479901
AB West PC Ryan DS O’Briain et al. (1988) ArticleTitleInflammatory aortic aneurysm report of a case suggesting athero-ischemic aetiology J Cardiovasc Surg 29 213–215 Occurrence Handle1:STN:280:BieC1MfjsVc%3D
Y Yonemitsu K Nakagawa S Tanaka et al. (1996) ArticleTitleIn situ detection of frequent and active infection of human cytomegalovirus in inflammatory abdominal aortic aneurysms: possible pathogenic role in sustained chronic inflammatory reaction Lab Invest 74 723–736 Occurrence Handle1:STN:280:BymC1crgtlQ%3D Occurrence Handle8606483
A Rijbroek FL Moll HA Dijk Particlevon et al. (1994) ArticleTitleInflammation of the abdominal aortic aneurysm wall Eur J Vasc Surg 8 41 Occurrence Handle8307214 Occurrence Handle1:STN:280:ByuC3sbps1c%3D
S Soisalon-Soininen J Salo O Takkunen et al. (1995) ArticleTitleComparison of long-term survival after repair of ruptured and nonruptured abdominal aortic aneurysms Vasa 24 42–48 Occurrence Handle1:STN:280:ByqB2c3otFM%3D Occurrence Handle7725778
M Iino S Kuribayashi S Imakita et al. (2002) ArticleTitleSensitivity and specificity of CT in the diagnosis of inflammatory abdominal aortic aneurysms J Comput Assist Tomogr 26 1006–1012 Occurrence Handle10.1097/00004728-200211000-00026 Occurrence Handle12488751
M Bitsch HH Norgaard O Roder et al. (1997) ArticleTitleJE. Inflammatory aortic aneurysms: regression of fibrosis after aneurysm surgery Eur J Vasc Endovasc Surg 13 371–374 Occurrence Handle1:STN:280:ByiB2sblsFI%3D Occurrence Handle9133988
B Lindblad B Almgren D Bergqvist et al. (1991) ArticleTitleAbdominal aortic aneurysm with perianeurysmal fibrosis: Experience from 11 Swedish vascular centers J Vasc Surg 13 231–239 Occurrence Handle10.1067/mva.1991.25583 Occurrence Handle1:STN:280:By6C3Mnms1Y%3D Occurrence Handle1990164
RC Pennell LH Hollier JT Lie et al. (1985) ArticleTitleInflammatory abdominal aortic aneurysms: a thirty-year review J Vasc Surg 2 859–869 Occurrence Handle1:STN:280:BimD3sjmtV0%3D Occurrence Handle4057444
S Sultan S Duffy P Madhavan et al. (1999) ArticleTitleFifteen-year experience of transperitoneal management of inflammatory abdominal aortic aneurysms Eur J Vasc Endovasc Surg 18 510–514 Occurrence Handle10.1053/ejvs.1999.0923 Occurrence Handle1:STN:280:DC%2BD3c7gsFKgug%3D%3D Occurrence Handle10637148
L Bonati P Rubini GG Japichino et al. (2003) ArticleTitleLong term outcome after inflammatory abdominal aortic aneurysm repair: case-matched study World J Surg 27 539–544 Occurrence Handle10.1007/s00268-003-6706-4 Occurrence Handle12715219
S Soisalon-Soininen JA Salo V Perhoniemi et al. (1999) ArticleTitleEmergency surgery of non-ruptured abdominal aortic aneurysm Ann Chir Gynaecol 88 38–43 Occurrence Handle1:STN:280:DyaK1M3ksFOisA%3D%3D Occurrence Handle10230681
P Fiorani V Faraglia F Speziale et al. (1991) ArticleTitleExtraperitoneal approach for repair of inflammatory abdominal aortic aneurysm J Vasc Surg 13 692–697 Occurrence Handle10.1067/mva.1991.26792 Occurrence Handle1:STN:280:By6B38ngsFc%3D Occurrence Handle2027209
RK Metcalf RB Rutherford (1991) ArticleTitleInflammatory abdominal aortic aneurysm: an indication for the retroperitoneal approach Surgery 109 555–557 Occurrence Handle1:STN:280:By6C1c%2Fot1U%3D Occurrence Handle2008661
AD Shepard DF Tollefson DJ Reddy et al. (1991) ArticleTitleLeft flank retroperitoneal exposure: a technical aid to com- plex aortic reconstruction J Vasc Surg 14 283–291 Occurrence Handle10.1067/mva.1991.30302 Occurrence Handle1:STN:280:By6A2M%2Fit1w%3D Occurrence Handle1831861
R Deleersnijder K Daenens I Fourneau et al. (2002) ArticleTitleEndovascular repair of inflammatory abdominal aortic aneurysms with special reference to concomitant ureteric obstruction Eur J Vasc Endovasc Surg 24 146–149 Occurrence Handle10.1053/ejvs.2002.1701 Occurrence Handle1:STN:280:DC%2BD38njtFKmug%3D%3D Occurrence Handle12389237
A Nevelsteen H Lacroix L Stockx et al. (1999) ArticleTitleInflammatory abdominal aortic aneurysm and bilateral complete ureteral obstruction: treatment by endovascular graft and bilateral ureteric stenting Ann Vasc Surg 13 222–224 Occurrence Handle1:STN:280:DyaK1M7nt1Siuw%3D%3D Occurrence Handle10072466
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Railo, M., Isoluoma, M., Keto, P. et al. Surgical Treatment of Inflammatory Abdominal Aortic Aneurysms: A Long-Term Follow-up of 19 Patients. Ann Vasc Surg 19, 361–366 (2005). https://doi.org/10.1007/s10016-004-0170-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10016-004-0170-y