Unlike abdominal and combined aortoiliac artery aneurysms, isolated iliac artery aneurysms (IIAAs) are uncommon. An isolated iliac artery aneurysm is defined as a twofold increase in the diameter of the iliac artery without a coexisting aneurysm at another location. IIAA was encountered infrequently in the past, comprising 0.9% to 4.7% of all intraabdominal aneurysms according to a review of pr...

We describe a case of fatal gastrointestinal bleeding probably caused by an aortoduodenal fistula following open surgical repair of an inflammatory abdominal aortic aneurysm (AAA) during postoperative steroid therapy. A 71-year old man underwent a graft replacement for an inflammatory AAA. Prolonged elevated C-reactive protein and newly emerged ascites after surgery were improved by oral admini...

BACKGROUND Maintaining the integrity of arterial elastin is vital for the prevention of abdominal aortic aneurysm (AAA) development. We hypothesized that in vivo stabilization of aortic elastin with pentagalloyl glucose (PGG), an elastin-binding polyphenol, would interfere with AAA development. METHODS AND RESULTS Safety and efficacy of PGG treatment were first tested in vitro using cytotoxic...

A 72-year-old man was admitted to the local hospital with a 2-day history of abdominal pain and mild back pain with low-grade fever. Computed tomography (CT) without contrast enhancement demonstrated a fusiform abdominal aortic aneurysm (AAA) of 45×48 mm in the infrarenal aorta and a nephrolith with ectatic renal pelvis. Therefore, antibiotics were given intravenously for 6 days for a diagnosis...

Coexistent cardiovascular disease is common in patients presenting for repair of aortic aneurysms. However, preoperative cardiac evaluation prior to abdominal aortic aneurysm (AAA) surgery remains contentious with significant variations in practice between countries, institutions and individual anesthetists. The following case report raises some everyday issues confronting clinical anesthetists.

The co-existence of abdominal aortic aneurysm (AAA) and horseshoe kidney (HSK) is rare. We report a 67-year-old man with an expanding juxtarenal AAA associated with a HSK. The aneurysm had a severely angulated neck and contained a significant amount of mural thrombus. The isthmus of HSK closely lied over the aneurysm, making its exposure extremely difficult. The aneurysm was successfully repair...

Abdominal aortic aneurysm (AAA) is a localized enlargement of the abdominal aorta, such that the diameter exceeds 3 cm. The natural history of AAA is progressive growth leading to rupture, an event that carries up to 90% risk of mortality. Hence there is a need to predict the growth of the diameter of the aorta based on the diameter of a patient's aneurysm at initial screening and aided by non-...

In 1996, the U.S. Preventive Services Task Force (USPSTF) found insufficient evidence to recommend for or against routine screening of asymptomatic adults for abdominal aortic aneurysm (AAA) either with abdominal palpation or ultrasonography. The USPSTF did recognize that selective screening of high-risk patients might be beneficial, for example, in men with other risk factors such as periphera...

OBJECTIVE Intra-abdominal packing is a valuable adjunct in patients with abdominal trauma and uncontrollable bleeding but few data exist regarding early and late outcome associated with this technique in patients with ruptured abdominal aortic aneurysm (AAA). METHODS Interrogation of a prospective vascular surgical database identified 23 patients (22 men; median age 69, range 59-82, years) wi...

Assessing the risk of rupture is extremely important to reduce mortality abdominal aortic aneurysm (AAA). Current clinical guidelines suggest considering maximum diameter as a criterion for planning and surgical intervention; however, this approach too simplistic overlooks other morphological parameters that are associated with rupture. The aim paper study thrombogenicity predict AAA by taking ...