Mycotic pseudoaneurysm of the descending thoracic aorta associated with vertebral osteomyelitis.
A patient with osteomyelitis of the lower thoracic spine is reported in whom computed tomography (CT) revealed a large false aneurysm of the descending aorta. Useful radiological signs of the diagnosis are described, namely a thin aneurysm wall, a multilobulated margin and deformity of the aneurysm by adjacent vascular and osseous structures. Mycotic aneurysms of the aorta have a high mortality and the CT demonstration of a pseudoaneurysm has a vital role in management.
Reed
D H
DH
Department of Radiology, East Glamorgan Hospital, Church Village, Pontypridd.
D000785:Aneurysm, Infected / Q000150:complications / Q000000981:diagnostic imaging*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging; D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging*; D001019:Aortic Rupture / Q000150:complications; D005260:Female; D006801:Humans; D008875:Middle Aged; D010019:Osteomyelitis / Q000150:complications / Q000000981:diagnostic imaging*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed