Inflammatory abdominal aortic aneurysms (IAAA) can present significant challenges to surgeons, especially in the juxtarenal location where they may not be amenable to endovascular repair. The dense, inflammatory component of these lesions can encase adjacent structures including the duodenum, ureters, and inferior vena cava putting them at risk for injury during open exposure. We report a novel ‘‘reverse hybrid’’ technique using a combined endovascular and open approach for repair of large, juxtarenal IAAA’s.
Lindblad B., Almgren B., Bergqvist D., et al. Abdominal aortic aneurysm with perianeurysmal fibrosis: experience from 11 Swedish vascular centers. J Vasc Surg. 1991; 13(2):231-237; discussion237-239.
2.
Crawford JL, Stowe CL, Safi HJ, Hallman CH, Crawford ESInflammatory aneurysms of the aorta. J Vasc Surg. 1985;2(1):113-124.
3.
Boontje AH, van den Dungen JJ, Blanksma C.Inflammatory abdominal aortic aneurysms. J Cardiovasc Surg (Torino). 1990;31(5):611-616.
4.
Kashyap VS, Fang R., Fitzpatrick CM, Hagino RTCaval and ureteral obstruction secondary to an inflammatory abdominal aortic aneurysm. J Vasc Surg. 2003;38(6):1416-1421.
5.
Fiorani P., Faraglia V., Speziale F., Lauri D., Massucci M., De Santis F.Extraperitoneal approach for repair of inflammatory abdominal aortic aneurysm . J Vasc Surg. 1991;13(5):692-697.
6.
Ockert S., Schumacher H., Böckler D., Ganten M., Seelos R., Allenberg J.Long-term outcome of operated inflammatory aortic aneurysms. Vascular. 2006;14(4):206-211.
7.
Pennell RC, Hollier LH, Lie JT, et al. Inflammatory abdominal aortic aneurysms: a thirty-year review . J Vasc Surg. 1985;2(6):859-869.
8.
Sicard GA, Freeman MB, VanderWoude JC, Anderson CBComparison between the transabdominal and retroperitoneal approach for reconstruction of the infrarenal abdominal aorta. J Vasc Surg. 1987;5(1):19-27.
