Tuberculous aneurysm of the supraceliac aorta--a case report.
Significant vascular complications are rare following systemic infections with Mycobacterium tuberculosis (TB). This report describes a 33-year-old man who presented with a short history of abdominal discomfort and febrile episodes with no prior history of infection with TB. Ultrasound, CT scan, and aortography confirmed the presence of a pseudoaneurysm originating from the posterior aspect of the supraceliac aorta at the level of the diaphragm. Via a full thoracoabdominal approach, periaortic inflammatory tissue and the aortic wall itself were debrided, and repair of the pseudoaneurysm was achieved with a synthetic patch. Mycobacterium tuberculosis was isolated from the aortic wall, and anti-TB medications were instituted. Postoperatively the patient did well and was discharged after 14 days. As illustrated by this case, tuberculous mycotic aneurysms of the aorta are optimally treated with a combination of medical and surgical therapy, and early diagnosis is essential to ensure survival.
Forbes
Thomas L
TL
Division of Vascular Surgery, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada. Tom.Forbes@lhsc.on.ca
Harris
Jeremy R
JR
Nie
Robert G
RG
Lawlor
D Kirk
DK
D000328:Adult; D017541:Aneurysm, False / Q000382:microbiology* / Q000628:therapy; D000995:Antitubercular Agents / Q000627:therapeutic use; D001011:Aorta / Q000382:microbiology*; D006801:Humans; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D014376:Tuberculosis / Q000175:diagnosis* / Q000628:therapy; D014381:Tuberculosis, Cardiovascular / Q000175:diagnosis* / Q000628:therapy
D000995:Antitubercular Agents