Clinical Review of the 12 Inflammatory Aneurysms

ABSTRACT

The optimal management of inflammatory aneurysm is still a matter of controversy, especially in surgical aspect. The disease is a infrequent entity and without surgical intervention, usually lead to uncontrolled sepsis or catastrophic hemorrhage. We report 12 cases of inflammatory aneurysms those admitted and were managed at Kangnam St. Mary's hospital during 6 years from April, 1991 through April, 1997. The medical records and dermographical datas of these patients were reviewed. Of these 12 patients, ten were male and three were female in age range from 37 through 80 years with a mean of 60 years. The diagnosis was mainly based on operative findings with aids of radiological and microbiological evidences. The number of location of involved arterial segments were 4 of thoracic aorta, 1 of suprarenal abdominal aorta, and 7 of infrarenal abdominal aorta including 2 of common iliac arteries. The main symptoms of these patients were abdominal or chest pain in 11 according to the location of the involved arterial segments, back pain in 6, fever and chillness in 8. The incidence of suspicious infected microorganisms of the patients, not of the credible direct cause of aneurysm itself, were 3 of Salmonellosis in Widal test, 2 of tuberculosis in AFB or sputum culture, 2 of G(-) bacilli in blood culture, and 1 of syphilis in FTA-ABS . 8 patients were operated by substituting the diseased arterial segments with artificial graft and 4 patients were medically managed. Of the 8 patients operated, one died within 48 hours after operation by sepsis. 7 patients were discharged by ambulation. In the 4 medically treated patients, one expired in hospital and three were discharged hopelessly. 7 patients those discharged after operation has been managed in out-patient department.