Inflammatory aortic aneurysms: regression of fibrosis after aneurysm surgery

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

    31 Citationer (Scopus)


    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.

    TidsskriftEuropean journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
    Udgave nummer4
    Sider (fra-til)371-4
    Antal sider4
    StatusUdgivet - apr. 1997


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