Regression of perianeurysmal fibrosis and ureteral dilation following endovascular repair of inflammatory abdominal aortic aneurysm

An inflammatory component to abdominal aortic aneurysms (AAA) is thought to occur in approximately 5% of cases. Accompanying ureteral entrapment may b e involved in 20% of these. Transabdominal repair of inflammatory AAA with ureterolysis may result in increased complications. Many authorities have r ecommended a retroperitoneal approach to decrease dissection. Similarly, an endovascular approach has been utilized. We report here the results of a p atient with an inflammatory AAA with bilateral ureteral obstruction success fully treated with endovascular stent graft repair and bilateral ureteral s tents with exclusion of the aneurysm and resolution of hydronephrosis.