Postimplantation Syndrome After Endovascular Aortic Aneurysm Repair in an Elderly Patient

An, Hong Ju; Kang, Won Yu; Kang, Chung; Nam, Dong In; Jung, Il Hyung; Kang, Hoon; Lee, Sang Sun; Song, Ho Yeong; Cho, Sang Cheol; Hwang, Sun Ho; Kim, Wan

doi:2014.18.2.89

Ann Geriatr Med Res > Volume 18(2); 2014 > Article

Case Report

Journal of the Korean Geriatrics Society 2014;18(2):89-92.
DOI: https://doi.org/10.4235/jkgs.2014.18.2.89 Published online June 30, 2014.

Postimplantation Syndrome After Endovascular Aortic Aneurysm Repair in an Elderly Patient

Hong Ju An, Won Yu Kang, Chung Kang, Dong In Nam, Il Hyung Jung, Hoon Kang, Sang Sun Lee, Ho Yeong Song, Sang Cheol Cho, Sun Ho Hwang, Wan Kim

Department of Internal Medicine, Gwangju Veterans Hospital, Gwangju, Korea. gpkwy@naver.com

Abstract

Endovascular procedures have been proposed as minimally invasive alternative treatments, allowing safe and effective aortic aneurysm repair. Despite the potential benefits, endovascular stent grafting may elicit an unexpected systemic inflammatory response, called postimplantation syndrome (PIS). The main features of PIS include fever, elevated C-reactive protein levels, leukocytosis and/or coagulation disturbances, perigraft air on abdominal computed tomography, and no evidence of infection. The main management of PIS is supportive care. Antibiotics have no clinical benefit. We report a case of PIS after endovascular aortic aneurysm repair in an elderly patient.

Key Words: Endovascular aortic aneurysm repair, Postimplantation syndrome