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Published in: CardioVascular and Interventional Radiology 3/2013

Open Access 01-06-2013 | Case Report

Infectious or Noninfectious? Ruptured, Thrombosed Inflammatory Aortic Aneurysm with Spondylolysis

Authors: Ludomir Stefańczyk, Marcin Elgalal, Andrzej Papiewski, Wojciech Szubert, Piotr Szopiński

Published in: CardioVascular and Interventional Radiology | Issue 3/2013

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Abstract

Osteolysis of vertebrae due to inflammatory aortic aneurysm is rarely observed. However, it is estimated that up to 10 % of infectious aneurysms coexist with bone tissue destruction, most commonly the vertebrae. Inflammatory aneurysms with no identified infection factor, along with infiltration of adjacent muscle and in particular extensive destruction of bone tissue have rarely been described in the literature. A case of inflammatory aneurysm with posterior wall rupture and inflammatory infiltration of the iliopsoas muscle and spine, together with extensive vertebral body destruction, is presented. The aneurysm was successfully treated with endovascular aneurysm repair EVAR.
Literature
1.
go back to reference Falkensammer J, Behensky H, Gruber H et al (2005) Successful treatment of a tuberculous vertebral osteomyelitis eroding the thoracoabdominal aorta: a case report. J Vasc Surg 42:1010–1013PubMedCrossRef Falkensammer J, Behensky H, Gruber H et al (2005) Successful treatment of a tuberculous vertebral osteomyelitis eroding the thoracoabdominal aorta: a case report. J Vasc Surg 42:1010–1013PubMedCrossRef
2.
go back to reference Kahn MB, Dimuzio PJ, Schmeider F et al (2001) Mycotic aneurysm and aortic graft infection presenting with vertebral body destruction requiring debridement and stabilization—a report of two cases. Vasc Surg 35:483–485PubMedCrossRef Kahn MB, Dimuzio PJ, Schmeider F et al (2001) Mycotic aneurysm and aortic graft infection presenting with vertebral body destruction requiring debridement and stabilization—a report of two cases. Vasc Surg 35:483–485PubMedCrossRef
3.
go back to reference Lin MP, Chang SC, Wu RH et al (2008) A comparison of computed tomography, magnetic resonance imaging, and digital subtraction angiography findings in the diagnosis of infected aortic aneurysm. J Comput Assist Tomogr 32:616–620PubMedCrossRef Lin MP, Chang SC, Wu RH et al (2008) A comparison of computed tomography, magnetic resonance imaging, and digital subtraction angiography findings in the diagnosis of infected aortic aneurysm. J Comput Assist Tomogr 32:616–620PubMedCrossRef
4.
go back to reference Takach TJ, Kane PN, Madjarov JM et al (2007) Endovascular exclusion of mycotic aortic aneurysm. Tex Heart Inst J 34:459–462PubMed Takach TJ, Kane PN, Madjarov JM et al (2007) Endovascular exclusion of mycotic aortic aneurysm. Tex Heart Inst J 34:459–462PubMed
5.
go back to reference Chen SH, Lin WC, Lee CH, Chou WY (2008) Spontaneous infective spondylitis and mycotic aneurysm: incidence, risk factors, outcome and management experience. Eur Spine J 17:439–444PubMedCrossRef Chen SH, Lin WC, Lee CH, Chou WY (2008) Spontaneous infective spondylitis and mycotic aneurysm: incidence, risk factors, outcome and management experience. Eur Spine J 17:439–444PubMedCrossRef
6.
go back to reference Yamamoto H, Yamamoto F, Izumoto H et al (2010) Repetitive contained rupture of an infected abdominal aortic aneurysm with concomitant vertebral erosion. Ann Vasc Surg 24(824):e1–e5 Yamamoto H, Yamamoto F, Izumoto H et al (2010) Repetitive contained rupture of an infected abdominal aortic aneurysm with concomitant vertebral erosion. Ann Vasc Surg 24(824):e1–e5
7.
go back to reference Okamoto Y, Shindo S, Matsumoto M (2011) Contained rupture of an inflammatory abdominal aortic aneurysm into the iliopsoas muscle: report of a case. Ann Thorac Cardiovasc Surg 17:190–193PubMedCrossRef Okamoto Y, Shindo S, Matsumoto M (2011) Contained rupture of an inflammatory abdominal aortic aneurysm into the iliopsoas muscle: report of a case. Ann Thorac Cardiovasc Surg 17:190–193PubMedCrossRef
8.
go back to reference van Bommel EF, van der Veer SJ, Hendriksz TR, Bleumink GS (2008) Persistent chronic peri-aortitis (“inflammatory aneurysm”) after abdominal aortic aneurysm repair: systematic review of the literature. Vasc Med 13:293–303PubMedCrossRef van Bommel EF, van der Veer SJ, Hendriksz TR, Bleumink GS (2008) Persistent chronic peri-aortitis (“inflammatory aneurysm”) after abdominal aortic aneurysm repair: systematic review of the literature. Vasc Med 13:293–303PubMedCrossRef
9.
go back to reference Witz M, Korzets Z (2005) Inflammatory abdominal aortic aneurysms. Isr Med Assoc J 7:385–387PubMed Witz M, Korzets Z (2005) Inflammatory abdominal aortic aneurysms. Isr Med Assoc J 7:385–387PubMed
10.
go back to reference Vallabhaneni SR, McWilliams RG, Anbarasu A et al (2001) Perianeurysmal fibrosis: a relative contra-indication to endovascular repair. Eur J Vasc Endovasc Surg 22:535–541PubMedCrossRef Vallabhaneni SR, McWilliams RG, Anbarasu A et al (2001) Perianeurysmal fibrosis: a relative contra-indication to endovascular repair. Eur J Vasc Endovasc Surg 22:535–541PubMedCrossRef
11.
go back to reference Sasaki S, Yasuda K, Takigami K et al (1997) Inflammatory abdominal aortic aneurysms and atherosclerotic abdominal aortic aneurysms—comparisons of clinical features and long-term results. Jpn Circ J 61:231–235PubMedCrossRef Sasaki S, Yasuda K, Takigami K et al (1997) Inflammatory abdominal aortic aneurysms and atherosclerotic abdominal aortic aneurysms—comparisons of clinical features and long-term results. Jpn Circ J 61:231–235PubMedCrossRef
12.
go back to reference Puchner S, Bucek RA, Rand T et al (2005) Endovascular therapy of inflammatory aortic aneurysms: a meta-analysis. J Endovasc Ther 12:560–567PubMedCrossRef Puchner S, Bucek RA, Rand T et al (2005) Endovascular therapy of inflammatory aortic aneurysms: a meta-analysis. J Endovasc Ther 12:560–567PubMedCrossRef
13.
go back to reference Sun Z (2003) Helical CT angiography of abdominal aortic aneurysms treated with suprarenal stent grafting. Cardiovasc Interv Radiol 26:290–295CrossRef Sun Z (2003) Helical CT angiography of abdominal aortic aneurysms treated with suprarenal stent grafting. Cardiovasc Interv Radiol 26:290–295CrossRef
14.
go back to reference Puchner S, Bucek RA, Loewe C et al (2006) Endovascular repair of inflammatory aortic aneurysms: long-term results. AJR Am J Roentgenol 186:1144–1147PubMedCrossRef Puchner S, Bucek RA, Loewe C et al (2006) Endovascular repair of inflammatory aortic aneurysms: long-term results. AJR Am J Roentgenol 186:1144–1147PubMedCrossRef
15.
go back to reference Ghatwary TM, Patterson BO, Karthikesalingam A et al (2011) A systematic review of protocols for the three-dimensional morphologic assessment of abdominal aortic aneurysms using computed tomographic angiography. Cardiovasc Interv Radiol. doi:10.1007/s00270_011_0296_6 Ghatwary TM, Patterson BO, Karthikesalingam A et al (2011) A systematic review of protocols for the three-dimensional morphologic assessment of abdominal aortic aneurysms using computed tomographic angiography. Cardiovasc Interv Radiol. doi:10.​1007/​s00270_​011_​0296_​6
Metadata
Title
Infectious or Noninfectious? Ruptured, Thrombosed Inflammatory Aortic Aneurysm with Spondylolysis
Authors
Ludomir Stefańczyk
Marcin Elgalal
Andrzej Papiewski
Wojciech Szubert
Piotr Szopiński
Publication date
01-06-2013
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 3/2013
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-012-0464-3

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