Homograft repair of a tuberculous pseudoaneurysm of the ascending aorta.
A 34-year-old HIV-positive black man with pulmonary tuberculosis developed progressive widening of the mediastinum. Evaluation by CT and two-dimensional echocardiography demonstrated a large saccular aneurysm of the ascending aorta. This was repaired with a 26-mm aortic homograft using deep hypothermic circulatory arrest. The microbiology of the aneurysm contents showed this to be a tuberculous pseudoaneurysm.
Bojar
R M
RM
Division of Cardiothoracic Surgery, New England Medical Center and the Tufts University School of Medicine, Boston, MA 02111, USA. robert.bojar@es.nemc.org
Turner
M T
MT
Valdez
S
S
Haskal
R
R
McGowan
K
K
Khabbaz
K R
KR
D000328:Adult; D017541:Aneurysm, False / Q000150:complications / Q000382:microbiology / Q000601:surgery*; D000785:Aneurysm, Infected / Q000150:complications / Q000382:microbiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000382:microbiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000382:microbiology; D015658:HIV Infections / Q000150:complications; D006801:Humans; D008297:Male; D014397:Tuberculosis, Pulmonary / Q000150:complications*