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...
Main Authors: | , , |
---|---|
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 |
_version_ | 1818260622670823424 |
---|---|
author | Kenji Sakai, MD Taiju Watanabe, MD, PhD Tetsuya Yoshida, MD, PhD |
author_facet | Kenji Sakai, MD Taiju Watanabe, MD, PhD Tetsuya Yoshida, MD, PhD |
author_sort | Kenji Sakai, MD |
collection | DOAJ |
description | 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 |
first_indexed | 2024-12-12T18:34:16Z |
format | Article |
id | doaj.art-50e30033857d46b09443f0b41c375bf0 |
institution | Directory Open Access Journal |
issn | 2468-4287 |
language | English |
last_indexed | 2024-12-12T18:34:16Z |
publishDate | 2018-09-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Vascular Surgery Cases and Innovative Techniques |
spelling | doaj.art-50e30033857d46b09443f0b41c375bf02022-12-22T00:15:49ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872018-09-0143189192Endovascular treatment of immunoglobulin G4-related inflammatory abdominal aortic aneurysmKenji Sakai, MD0Taiju Watanabe, MD, PhD1Tetsuya Yoshida, MD, PhD2Department of Cardiovascular Surgery, Hokushin General Hospital, Nagano, JapanDepartment of Cardiovascular Surgery, Hokushin General Hospital, Nagano, JapanCorrespondence: Tetsuya Yoshida, MD, PhD, Department of Cardiovascular Surgery, Hokushin General Hospital, Nishi 1-5-63, Nakano-shi, Nagano 383-0021, Japan; Department of Cardiovascular Surgery, Hokushin General Hospital, Nagano, JapanWe 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, Steroidhttp://www.sciencedirect.com/science/article/pii/S2468428718300686 |
spellingShingle | Kenji Sakai, MD Taiju Watanabe, MD, PhD Tetsuya Yoshida, MD, PhD Endovascular treatment of immunoglobulin G4-related inflammatory abdominal aortic aneurysm Journal of Vascular Surgery Cases and Innovative Techniques |
title | Endovascular treatment of immunoglobulin G4-related inflammatory abdominal aortic aneurysm |
title_full | Endovascular treatment of immunoglobulin G4-related inflammatory abdominal aortic aneurysm |
title_fullStr | Endovascular treatment of immunoglobulin G4-related inflammatory abdominal aortic aneurysm |
title_full_unstemmed | Endovascular treatment of immunoglobulin G4-related inflammatory abdominal aortic aneurysm |
title_short | Endovascular treatment of immunoglobulin G4-related inflammatory abdominal aortic aneurysm |
title_sort | endovascular treatment of immunoglobulin g4 related inflammatory abdominal aortic aneurysm |
url | http://www.sciencedirect.com/science/article/pii/S2468428718300686 |
work_keys_str_mv | AT kenjisakaimd endovasculartreatmentofimmunoglobuling4relatedinflammatoryabdominalaorticaneurysm AT taijuwatanabemdphd endovasculartreatmentofimmunoglobuling4relatedinflammatoryabdominalaorticaneurysm AT tetsuyayoshidamdphd endovasculartreatmentofimmunoglobuling4relatedinflammatoryabdominalaorticaneurysm |