Mycotic tubercular abdominal aortic aneurysm: A case report
Abstract
The mycotic tuberculous aneurysm of the Abdominal Aorta is an extremely rare disease. An aortic mycotic aneurysm is a life-threatening condition caused by tuberculous infection. Tuberculous aneurysms of the aorta usually present as rapidly growing or ruptured pseudoaneurysms. Most of these aneurysms are of the pseudoaneurysm type. We presented a case of a 61-year-old man who was diagnosed with a tubercular abdominal aortic mycotic aneurysm associated with the posterior invasion of the vertebral body leading to discitis. The patient underwent a mycotic aneurysm repair with grafting. Even with a combination of surgical and medical treatment, a favorable outcome could not be achieved.
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References
Weigert C. Ueber venentuberkel und ihre Beziehungen zur Tuberculoesen Blutinfection. Virchows Arch Pathol Anat Physiol Klin Med. 1882; 88(2):307-79.
DOI: https://doi.org/10.1007/BF01879526
Müller BT, Wegener OR, Grabitz K, Pillny M, Thomas L, Sandmann W. Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: experience with anatomic and extra-anatomic repair in 33 cases. J Vas Surg. 2001; 33(1):106-13.
DOI: https://doi.org/10.1067/mva.2001.110356
Hsu RB, Tsay YG, Wang SS, Chu SH. Surgical treatment for primary infected aneurysm of the descending thoracic aorta, abdominal aorta, and iliac arteries. J Vas Surg. 2002; 36(4):746-50.
DOI: https://doi.org/10.1067/mva.2002.126557
Liu WC, Kwak BK, Kim KN, Kim SY, Woo JJ, Chung DJ, et al. Tuberculous aneurysm of the abdominal aorta: endovascular repair using stent grafts in two cases. Korean J Radiol. 2000; 1(4):215-8.
DOI: https://doi.org/10.3348/kjr.2000.1.4.215
Parsons RE, Sanchez LA, Marin ML, Holbrook KA, Faries PL, Suggs WD, et al. Comparison of endovascular and conventional vascular prostheses in an experimental infection model. J Vas Surg. 1996; 24(6):920-6.
DOI: https://doi.org/10.1016/S0741-5214(96)70037-X
Rob CG, Eastcott HH. Aortic aneurysm due to tuberculous lymphadenitis. Br Med J.1955; 1(4910):378.
DOI: https://doi.org/10.1136/bmj.1.4910.378
Hara M, Bransford RM. Aneurysm of the subclavian artery associated with contiguous pulmonary tuberculosis. J Thorac Cardiovasc Surg. 1963; 46(2):256-64.
DOI: https://doi.org/10.1016/S0022-5223(20)31578-6
Oran I, Parildar M, Memis A. Mesenteric artery aneurysms in intestinal tuberculosis as a cause of lower gastrointestinal bleeding. Abdom Imaging. 2001; 26(2):131-3.
DOI: https://doi.org/10.1007/s002610000127
Long R, Guzman R, Greenberg H, Safneck J, Hershfield E. Tuberculous mycotic aneurysm of the aorta: review of published medical and surgical experience. Chest. 1999; 115(2):522-31.
DOI: https://doi.org/10.1378/chest.115.2.522
Umerah BC. Unfolding of the aorta (aortitis) associated with pulmonary tuberculosis. Br J Radiol. 1982; 55(651):201-3.
DOI: https://doi.org/10.1259/0007-1285-55-651-201
Hatem CM, Kantis GA, Christoforou D, Gold JP, Plestis KA. Tuberculous aneurysm of the descending thoracic aorta. J Thorac Cardiovasc Surg. 2002; 123(2):373-4.
DOI: https://doi.org/10.1067/mtc.2002.120721
Sicard GA, Reilly JM, Doblas M, Orgaz A, Rubin BG, Flye MW, et al. Autologous vein reconstruction in prosthetic graft infections. Eur J Vasc Endovasc Surg. 1997; 14:93-8.
DOI: https://doi.org/10.1016/S1078-5884(97)80163-3
Labrousse L, Montaudon M, Le Guyader A, Choukroun E, Laurent F, Deville C. Endovascular treatment of a tuberculous infected aneurysm of the descending thoracic aorta: a word of caution. J Vas Surg. 2007; 46(4):786-8.
DOI: https://doi.org/10.1016/j.jvs.2007.05.038
Silbergleit A, Arbulu A. Tuberculous mycotic aneurysms. Chest. 1999; 116(4):1142.
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