OBJECTIVE To assess the cost effectiveness of ultrasound screening for abdominal aortic aneurysms. DESIGN Primary analysis: four year cost effectiveness analysis based directly on results from a randomised controlled trial in which patients were individually allocated to invitation to ultrasound screening (intervention) or to a control group not offered screening. Secondary analysis: projecti...

IgG4-related disease (IgG4RD) is a unique systemic lymphoproliferative disorder characterized by elevated serum IgG4 levels and IgG4-producing plasma cell expansion in the affected tissues, which are accompanied by fibrotic or sclerotic changes. Vascular lesions may also be a part of IgG4RD as a number of case reports have discussed inflammatory abdominal aortic aneurysms associated with IgG4RD...

RATIONALE Abdominal aortic aneurysms (AAAs) are mostly asymptomatic. If aortic aneurysms become symptomatic, complications include peripheral embolization, acute aortic occlusion, and aortic rupture. However, there are also unusual complications caused by aortic aneurysms. PATIENT CONCERNS An 87-old male with dabigatran therapy presented with newly developed melena and acute renal failure. Ra...

PURPOSE To evaluate prospectively the safety and efficacy of totally percutaneous placement of abdominal and thoracic aortic endografts using the Prostar XL suture-mediated closure system. METHODS From January 2002 to January 2005, we attempted to insert percutaneously all bifurcated abdominal aortic and thoracic endografts. Consecutive patients (25 men, four women), with mean age 74.9 years ...

Although aortic aneurysms associated with Takayasu arteritis are not rare, a total occlusion of the thoracoabdominal aorta enlargement is rare. We have experienced 60-year-old man who underwent second-stage surgery for aneurysm nine years after prior operation an ascending aorta-abdominal bypass atypical coarctation due to arteritis. present successful case treatment result 4 years’ follow-up.

Ruptured abdominal aortic aneurysms have an alarmingly high mortality rate that often exceeds 50%, even when patients survive long enough to be transported to hospitals. Historical data have shown that ruptures are especially likely to occur with aneurysms measuring ≥6 cm in diameter, but there are so many exceptions to this that several randomized clinical trials have been done in an attempt t...

Mycotic abdominal aortic aneurysms (MAAAs) are rare entities accounting for 0.65-2% of aortic aneurysms. Campylobacter fetus has a tropism for vascular tissue and is a rare cause of mycotic aneurysm. We present a 73-year-old male patient with contained rupture of a MAAA caused by C. fetus, successfully treated with endovascular aortic repair (EVAR) and antibiotics, which is not previously descr...

BACKGROUND Apolipoprotein E (apoE)/endothelial nitric oxide synthase (eNOS) double knockout (DKO) mice demonstrate accelerated atherosclerosis and develop abdominal aortic aneurysms and aortic dissection, suggesting a role for eNOS in suppressing atherogenesis. To test whether accelerated atherosclerosis and aortic aneurysms were due to hypertension, we administered hydralazine to male apoE/eNO...

Introduction R abdominal aortic aneurysm is a common preventable cause of death, responsible for approximately 5800 deaths in men and 3500 deaths in women in England and Wales in 1999, equivalent to 2.2% of all deaths in men aged 60 years and over and 1.2% of deaths in women over the age of 65 years.1 The prevalence of abdominal aortic aneurysm is increasing and has a male-to-female ratio of 6 ...

To cite: Nishiguchi S. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014207312 DESCRIPTION A 76-year-old man, an ex-smoker with hypertension, presented to hospital with a 3-week history of continuous night sweats and low-grade fever. Several days after arrival, he developed upper abdominal pain. Body temperature was 36.9°C, blood pressure was 140/88 mm Hg and h...