1 |
M, 45 |
O, G, E Diagnosed after the second recurrence |
61 |
75 |
- |
Continuous back pain for 2 months and sudden exacerbation to unconsciousness within 2 hours |
30 minutes |
Aneurysmectomy reconstructed by aortic and bi-iliac artery interposition Recurrence at the proximal aortic anastomosis; underwent another aortic interposition 10 months after the first operation Recurrence again at the proximal aortic anastomosis and too close to renal artery to perform EVAR 8 months after the second operation |
After rejection of surgery for the second recurrent pseudoaneurysm, prednisone qd 80 mg for 1 month followed by 50 mg for 6 months and 25 mg for 6 months, as well as cyclophosphamide q2w 400 mg for 3 months followed by q4w 400 mg for 3 months |
30 months, dead (rupture of recurrent pseudoaneurysm at proximal aortic anastomosis) |
2 |
M, 29 |
O, G, E1 dayDiagnosed prior to the initial open surgery |
105 |
421 |
Right renal artery pseudoaneurysm |
Sudden tearing abdominal pain 15 days prior, followed by continuous dull pain |
4 days |
Prosthesis bypass from the aorta to the SMA, bilateral renal arteries, and bilateral CIA with aneurysmectomy |
Pre-operative prednisone 40 mg oncePost-operative prednisone qd 40 mg for 12 months followed by sequential reduction to drug withdrawal |
58 months, alive (normal ESR and CRP level) |
3 |
M, 45 |
O, E, SDiagnosed more than 6 years prior to the initial EVAR |
- |
- |
- |
Continuous abdominal pain combined with pulsatile abdominal mass for 1 month, acute enlargement of the mass for 1 day |
3 hours |
Infra-renal EVAR Recurrence at the proximal end of the endograft accompanied by right femoral anastomotic pseudoaneurysm 6 months after the initial EVAR, patient refused further intervention for aortic recurrence |
Pre-operative prednisone for more than 6 yearsPost-operative prednisone qd 30 mg and azathioprine qd 100 mg for 7 months |
7 months, dead (rupture of recurrent pseudoaneurysm at proximal aortic landing zone) |
4 |
M, 33 |
O, G, SDiagnosed more than 3 years prior to the initial EVAR |
10 |
62.8 |
Left subclavian aneurysm, Left renal arterial occlusion |
Continuous dull epigastric pain for 1 month |
6 days |
EVAR with right renal artery and SMA chimney stenting Technical failure due to type I endoleakage |
Pre-operative prednisone qd 40 mg, Cyclophosphamide q2w 400 mg for 36 months, prednisone qd 60 mg 1 month before operation and continued post-operatively |
4 months, dead (rupture of aneurysm due to type Ia endoleak) |
5 |
M, 28 |
O, G, SDiagnosed approximately 1 year prior to the first recurrence |
26 |
19.6 |
Right renal artery stenosis |
Continuous abdominal and back pain for 3 months |
6 days |
Infra-renal EVAR (Zenith, 22 mm/80 mm) Recurrent pseudoaneurysm at the distal end of the endograft, followed by another infra-renal EVAR (Aorto-bi-iliac) 80 months after the initial EVAR Recurrent pseudoaneurysm at the proximal end of the endograft above the right renal artery 13 months after the second EVAR; the size was stable based on close follow-up |
Prednisone qd 30 mg for 12 months before the first recurrence, continued qd 30 mg post-operatively for another 12 months, qd 15 mg for half a year and qd 10 mg as a maintenance treatment |
163 months, alive (regular hemodialysis owing to chronic kidney failure for 65 months) |
6 |
M, 56 |
O, G, SDiagnosed after the initial EVAR |
72 |
176 |
Left CIA pseudoaneurysm |
Continuous pain in back and lower extremities for 2 months |
2 days |
Infra-renal EVAR (Medtronic, 25-14 mm /100 mm) combining artificial bypass from the right CFA to the left CFA and plugging of the left CIA Rupture of recurrent aneurysm 50 months after the initial operation |
Prednisone qd 50 mg for 6 months followed by sequential reduction by 5 mg every two weeks after EVAR |
50 months, dead (sudden death, rupture of recurrent aneurysm) |
7 |
M, 39 |
O, G, EDiagnosed after the initial EVAR |
45 |
24.2 |
- |
Back pain for half a year and pulsatile abdominal mass for 20 days |
5 days |
Infra-renal EVAR (Hercules, 20-20 mm/60 mm) Recurrent pseudoaneurysm at the distal end of the endograft, followed by another infra-renal EVAR(Aorto-bi-iliac) 73 months after the initial EVAR |
Prednisone and azathioprine for approximately 3 years after the first EVAR, leflunomide qd 20 mg for 12 months after the second EVAR |
108 months, alive (normal ESR of 8 mm/h and CRP level of 6.29 mg/L) |
8 |
M, 35 |
O, G, PDiagnosed after the initial EVAR |
30 |
66.8 |
Right CIA occlusion, SMA aneurysm |
Intermittent epigastric pain for more than 1 year |
2 days |
Juxta-renal EVAR (Sinus XL. 22 mm/80 mm, 24 mm/80 mm) combining coil embolization and PTA stenting for the R-CIA |
Prednisone qd 50 mg for 6 months followed by sequential reduction by 5 mg every two weeks, Cyclophosphamide q2w 400 mg for 16 months after the initial intervention |
16 months, alive (normal ESR of 3 mm/h and slightly elevated CRP level of 11.20 mg/L, new aneurysm at the proximal landing zone of the bare-metal iliac stent) |
9 |
M, 42 |
O, G, SDiagnosed 3 years prior to the initial EVAR |
98 |
285 |
Coronary artery circumflex aneurysm, deep venous thrombosis |
Intermittent thoracic pain for more than 2 years and abdominal pain for 3 months |
1 day |
TEVAR (Hercules, 26 mm/80 mm) and infra-renal EVAR (Hercules, 18 mm/80 mm) |
Pre-operative prednisone qd 50 mg for 10 months followed by 25 mg for 12 months, 15 mg for 3 months and 7.5 mg for 11 months, as well as Cyclophosphamide q2w 400 mg for 24 monthsPost-operative adalimumab q2w 40 mg combined with prednisone qd 5 mg for 12 months followed by prednisone qd 20 mg and azathioprine 150 mg for 4 months |
16 months, alive (normal ESR of 10 mm/h and CRP level of 1.50 mg/L) |
10 |
M, 46 |
O, G, EDiagnosed after the initial EVAR |
74 |
88 |
- |
Abdominal and back pain for over 10 days, acute deterioration for 12 hours |
1 hour |
Infra-renal EVAR (Hercules, 18 mm/80 mm) |
Post-operative prednisone 30 mg qd for 3 months, and increase to 50 mg up to present, azathioprine 100 mg bid up to present |
9 months, alive (normal ESR of 13 mm/h and CRP level of 3.32 mg/L) |