| A Case of Multiple
Aneurysms due to Aortitis Syndrome |
(First Department of Surgery and Clinical Pathology,
Yokohama City University School of Medicine, Yokohama, Japan)
| Shinichi Suzuki |
Jiro Kondo |
Kiyotaka Imoto |
| Michio Tobe |
Yoshihiro Iwai |
Masahiko Okamoto |
| Mitsuchika Nakamura |
Yoshinori Takanashi |
Yoshiaki Inayama |
|
A 51-year-old man underwent arch
replacement for a thoracic aortic succular aneurysm in December
1996. The pathological examination indicated aortitis to be the
cause of the aneurysm. At that time we did not surgically treat
the abdominal aortic aneurysm (AAA) which was only 32mm in diameter.
Sixteen months after the first operation, he complained of a
pulsatile tumor in his left leg. Angiography revealed an aneurysm
of the left superficial femoral artery. The artery distal to
the aneurysm was occluded, and the left popliteal artery received
collateral blood flow from the deep femoral artery. The size
of the AAA increased to 48mm, an indication of repair. Aneurysmectomy
of the left superficial femoral artery and replacement of the
abdominal aorta were performed simultaneously. The operative
findings showed that the aneurysm of the left superficial femoral
artery had been ruptured and formed a pseudoaneurysm. The pathological
findings demonstrated both aneurysm aortitis. After the second
operation, he was given steroid therapy to control the inflammatory
reaction and he has been well for one year.
@Jpn. J. Cardiovasc. Surg. 29: 98-101 (2000) |
|
