Inflammatory aortic aneurysms: regression of fibrosis after aneurysm surgery

M Bitsch, H H Nørgaard, O Røder, T V Schroeder, J E Lorentzen

32 Citationer (Scopus)

Abstract

OBJECTIVES: To evaluate the fate of perianeurysmal fibrosis (PF) following aneurysm surgery.

METHODS: In this single centre study, pre- and postoperative abdominal CT-scans on 21 consecutive patients with inflammatory abdominal aortic aneurysms were compared. CT-scans of 10 randomly chosen patients operated on for abdominal aortic aneurysms without PF in the same period, served as reference group.

RESULTS: Preoperative thickness of PF was assessed as > 1 cm in 11 and < 1 cm in 10 patients. Ureterolysis was performed in seven patients where the fibrosis caused ureteral obstruction. Postoperative CT-scans performed at a median of 24 (range 3-108) months after surgery showed complete regression of the fibrosis in 29%, partial regression in 57% and no change in 14% of the patients. Progression of the fibrosis or persistence of hydronephrosis was not seen. No sign of fibrosis were seen in the 10 controls.

CONCLUSION: This study supports the findings that PF tends to regress after repair of the abdominal aortic aneurysm.

OriginalsprogEngelsk
TidsskriftEuropean journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
Vol/bind13
Udgave nummer4
Sider (fra-til)371-4
Antal sider4
ISSN1078-5884
StatusUdgivet - apr. 1997
Udgivet eksterntJa

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