Endovascular treatment of immunoglobulin G4-related inflammatory abdominal aortic aneurysm

We present the case of a 51-year-old Japanese man with immunoglobulin G4-related inflammatory abdominal aortic aneurysm (AAA). A computed tomography scan showed a 60-mm AAA with inflammatory aortic wall thickening and bilateral hydronephrosis. We did not administer steroid therapy but undertook endo...

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Bibliographic Details
Main Authors: Kenji Sakai, MD, Taiju Watanabe, MD, PhD, Tetsuya Yoshida, MD, PhD
Format: Article
Language:English
Published: Elsevier 2018-09-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428718300686
Description
Summary:We present the case of a 51-year-old Japanese man with immunoglobulin G4-related inflammatory abdominal aortic aneurysm (AAA). A computed tomography scan showed a 60-mm AAA with inflammatory aortic wall thickening and bilateral hydronephrosis. We did not administer steroid therapy but undertook endovascular aneurysm repair. Postoperatively, inflammation of the aorta and hydronephrosis ameliorated without steroid therapy. The treatment of immunoglobulin G4-related inflammatory AAA is still debated. We achieved good clinical results with endovascular repair alone. Keywords: EVAR, IgG4-related IAAA, Hydronephrosis, Steroid
ISSN:2468-4287