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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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
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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
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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
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