Repair of tuberculous aneurysm of distal aortic arch.
A 65 year old female patient presented with one episode of massive haemoptysis requiring transfusion and subsequently cough with streaky haemoptysis. Computerized tomographic scan and angiogram revealed aneurysm of the distal aortic arch. She underwent elective repair of the pseudoaneurysm through median sternotomy and the bronchial communication was closed through left thoracotomy. Tubercle bacilli were identified in the contents and excised wall of aortic tissue.
Suresh
Keshavamurthy
K
Institute of Cardiovascular Diseases, 4A Dr. J J Nagar, Mogappair, Chennai 600-050, India.
Kurian
Vallikapathalil M
VM
Madhu Sankar
Nainar
N
Patel
Alpesh
A
Joseph
Peter
P
Cherian
Kotturathu M
KM
D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001027:Aortography; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D019616:Thoracic Surgical Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014381:Tuberculosis, Cardiovascular / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*
D000995:Antitubercular Agents