De novo periaortic fibrosis after endovascular aortic repair

Ann Vasc Surg. 2014 Feb;28(2):493.e1-3. doi: 10.1016/j.avsg.2013.06.019. Epub 2013 Nov 23.

Abstract

We report a case of a 63-year-old man presenting with abdominal pain and hydronephrosis secondary to periaortic fibrosis (PAF) 8 months after an endovascular aortic repair (EVAR) using a woven polyester bifurcated graft. De novo delayed PAF after open repair is rare and even more infrequent after EVAR. All 3 previously reported cases occurred after woven polyester grafts and no reported cases after polytetrafluorethylene grafts. Management included steroidal anti-inflammatory treatment and bilateral double J tube placement. Satisfactory results were obtained.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Aortic Aneurysm, Abdominal / diagnosis
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Endovascular Procedures / adverse effects*
  • Endovascular Procedures / instrumentation
  • Humans
  • Hydronephrosis / etiology
  • Male
  • Middle Aged
  • Polyesters
  • Prosthesis Design
  • Retroperitoneal Fibrosis / diagnosis
  • Retroperitoneal Fibrosis / etiology*
  • Retroperitoneal Fibrosis / therapy
  • Risk Factors
  • Time Factors
  • Tomography, X-Ray Computed

Substances

  • Polyesters