Endovascular repair of inflammatory aortic aneuvrysm

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Published May 15, 2018
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Vol. 95 No. 12 (2017): Issue Dec 2017

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Aicha Ben Tekaya
Mohamed Ben Hammamia
Raoudha Tekaya
Malek Ben Mrad
Raouf Denguir
Leila Abdelmoula

Abstract

Introduction
While open repair was the gold standard treatment of atherosclerotic abdominal aortic aneurysms, its place in the treatment of inflammatory aortic aneurysms remains controversial. The aim of this study is to specify the place of endovascular repair in the treatment of inflammatory aneurysms.
Observations
We report 2 cases of inflammatory aortic aneurysms. The first patient was followed for Behçet's disease and the other patient for Giant Cell arteritis ‘s disease. We noted a biological inflammatory syndrome. CT scan suggested the diagnosis of inflammatory aortic aneurysm. We have implemented a bifurcated stent graft for the patient with a Behcet's disease. For the second patient, we converted to conventional surgery. Corticosteroid therapy was prescribed in two cases with favorable evolution.
Conclusion
Endovascular repair is a good alternative to surgery for inflammatory aneurysms. Medical therapy occupies a prominent place in its therapeutic management.

Keywords:

Endovascular, inflammatory aneurysm, Behçet ‘s disease, Giant cell arteritis

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