Mycotic aortic aneurysms are exceedingly uncommon in infants and they have a high risk of rupture. Their surgical management is extremely challenging. We report a case of a 22-month-old girl who presented with abdominal pain and fever revealing a ruptured mycotic aneurysm of the infrarenal aorta. The surgical treatment consisted of a ligature of the proximal and distal ends of the aneurysm. Pos...

Introduction renal arteries. The proximal neck of the aneurysm was 24 mm long and 23 mm wide, without thrombus or Endoluminal repair of infrarenal aneurysms of the calcifications, and consequently fit for endovascular abdominal aorta is still controversial. Much unfixation (Fig. 2). Preoperative kidney function was certainty continues to exist about its proper application normal (urea: 5.5 mmol...

HYPOTHESIS Small infrarenal abdominal aortic aneurysms have a more favorable clinical and morphologic outcome compared with medium and large abdominal aortic aneurysms following endovascular aneurysm repair(EVAR). DESIGN A prospective clinical series of 206 patients undergoing elective EVAR between 1996 and 2001. SETTING A tertiary care academic health center. PATIENTS Patients were group...

The role of regional techniques, primarily epidural anaesthesia, in the anaesthetic management of aortic surgery patients is still a subject of discussion. As opposed to general anaesthesia alone, many clinicians use an epidural catheter for intraoperative anaesthesia and postoperative pain management in combination with a general anaesthetic, sufficient to produce unconsciousness, amnesia, and...

BACKGROUND In elective open infrarenal aortic aneurysm repair the use of epidural anesthesia and analgesia may preserve splanchnic perfusion. The aim of this study was to investigate the effects of epidural anesthesia on gut perfusion with gastrointestinal tonometry in patients undergoing aortic reconstructive surgery. METHODS THIRTY PATIENTS, SCHEDULED TO UNDERGO AN ELECTIVE INFRARENAL ABDOM...

BACKGROUND Stiffening of the aortic wall is a phenomenon consistently observed in age and in abdominal aortic aneurysm (AAA). However, its role in AAA pathophysiology is largely undefined. METHODS AND RESULTS Using an established murine elastase-induced AAA model, we demonstrate that segmental aortic stiffening precedes aneurysm growth. Finite-element analysis reveals that early stiffening of...

A total of 1193 patients with infrarenal abdominal aortic aneurysms were treated with the AneuRx Stent Graft System at 19 US investigational centers from 1996 to 1999. This report summarizes clinical data collected and analyzed as of August 28, 2002. There have been 10 late (>30 days) aneurysm ruptures, 8 late (>30 days) aneurysm-related deaths, and 38 late (>30 days) surgical conversions, incl...