Endovascular repair of inflammatory aortic aneuvrysm.

INTRODUCTION

While open repair was the gold standard treatment of atherosclerotic abdominal aortic aneurysms, its place in the treatment of inflammatory aortic aneurysms remains controversial.

AIM: To specify the place of endovascular repair in the treatment of inflammatory aneurysms.

OBSERVATION: We report 2 cases of inflammatory aortic aneurysms. The first patient was followed for Behçet's disease and the other patient for Giant Cell arteritis 's disease. We noted a biological inflammatory syndrome. CT scan suggested the diagnosis of inflammatory aortic aneurysm. We have implemented a bifurcated stent graft for the patient with a Behcet's disease. For the second patient, we converted to conventional surgery. Corticosteroid therapy was prescribed in two cases with favorable evolution.

CONCLUSION

Endovascular repair is a good alternative to surgery for inflammatory aneurysms. Medical therapy occupies a prominent place in its therapeutic management.