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Noninfectious Saccular Abdominal Aortic Aneurysm

A Report of Two Cases

James O. Menzoian, MD

Boston Medical Center, Boston MA

Joseph D. Raffetto, MD

Boston Medical Center, D-506, One Boston Medical Center Place, 88 East Newton Street, Boston, MA 02118-2393 joseph.raffetto{at}bmc.org

Saccular aortic aneurysms are eccentrically shaped and are commonly thought to be the consequence of infection of the aorta. However, saccular-type aneurysms can be found independent of any clinical or subclinical infection and can be associated with a penetrating aortic ulcer. Moreover, penetrating aortic ulcers have been described in the thoracic aorta, but there is a paucity of any documentation of this clinical and pathologic entity occurring in the abdominal aorta. The authors describe 2 cases of symptomatic, penetrating atherosclerotic ulcers of the abdominal aorta causing saccular, noninfectious abdominal aortic aneurysms.

Vascular and Endovascular Surgery, Vol. 37, No. 5, 353-358 (2003)
DOI: 10.1177/153857440303700507


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