Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080


Turkish Journal of Vascular Surgery 1996 , Vol 5 , Issue 3
Surgical Approach in lnflammatory Abdominal Aorta Aneurysms
Ufuk DEMİRKILIÇ1, Erkan KURALAY1, Ahmet T. YILMAZ1, Ertuğrul ÖZAL1, Harun TATAR1, Ömer Yüksel ÖZTÜRK1
1Gülhane Askeri Tıp Akademisi Kalp ve Damar Cerrahisi Ankara lnflammatory abdominal aorta aenurysms (IAAA) consist of 2.5-15 percent of total abdominal aorta aneurysms. IAAA's are huge and white aneurysms. These aneurysms can not resect, due to extensive fibros is and dissection is immopssible. Surgery was performed 37 abdominal aorta aneurysms which 5 of them were (% 13.8) inflammatory abdominal aorta aneurysms. AII IAAA were located infra-renal .abdominal aorta. Ureteric involvement and subse­ quently hydronephrosis was found in one case. Proximal controls of aneürysms were achieved just above the aneu­ rysmal mass in three cases.. Proximal control of aortajust above the aneurysmal mass was not achieved in two cas­ es. in these patients proximal control of aorta was successfully achieved through bursa omentalis just superior of the celiac truncus. Aorta femoral bifurcated Dacron graft was bypassed in all cases. Uterolysis was performed in one cases whic_h have hydronephrosis. Proximal controls of aorta through bursa omentalis, just superior of the ce­ liac truncus without extensive dissection reduce the operative mortality and morbidity. Keywords : lnflammatory aortic aneı,ırysm, Suprarenal aortic clamping, retroperitoneal fibrosis