Surgical treatment of recurrent abdominal aortic aneurysm in a patient with systemic lupus erythematosus

• Published in: Journal of vascular surgery Vol. 32; no. 1; pp. 209 - 212
• Main Authors: Washiyama, Naoki, Kazui, Teruhisa, Takinami, Makoto, Yamashita, Katsushi, Terada, Hitoshi, Muhammad, Bashar A.H., Miura, Katsutoshi
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01.07.2000; Elsevier
• Subjects: Adult; Aortic Aneurysm, Abdominal - complications; Aortic Aneurysm, Abdominal - diagnostic imaging; Aortic Aneurysm, Abdominal - pathology; Aortic Aneurysm, Abdominal - surgery; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Diseases of the aorta; Female; Humans; Inflammation; Lupus Erythematosus, Systemic - complications; Medical sciences; Radiography; Recurrence; Renal Artery - pathology; Renal Artery - surgery; Replantation; Human; Immunopathology; Connective tissue disease; Skin disease; Relapse; Aneurysm; Clinical form; Cardiovascular disease; Autoimmune disease; Arterial disease; Vascular disease; Abdominal aorta; Case study; Surgery; Systemic disease; Lupus erythematosus; Disseminated; Aortic disease
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1067/mva.2000.105949

Reports of true abdominal aortic aneurysms (AAAS), especially those due to severe inflammation, in patients with systemic lupus erythematosus (SLE) are very few in number. However, we had the experience of surgically treating a recurrent AAA due to severe inflammation found in a patient with SLE. The recurrence took place after an earlier operation for an infrarenal AAA and involved the left renal artery. In both situations, the previous infrarenal aaa and the recurrence, the aneurysms demonstrated more rapid growth and more irregularities in shape. Etiology of the AAA might be a combination of Takayasu's arteritis and SLE because the two entities appeared to have overlapped. (J Vasc Surg 2000;32:209-12.)