[Endovascular repair of a tuberculous aortic false aneurysm].
BACKGROUND
Aortic aneurysms are a well known but rare complication of tuberculosis. Their major complication is aneurysmal rupture, unforeseeable and lethal.


METHODS
Chest pain and hemoptoic expectoration revealed a false aneurysm of the aortic isthmus in a 48-year-old man. Endovascular repair with a stent graft was urgently undertaken. Tuberculosis was diagnosed 6 weeks thereafter by the growth of gastric juice cultures and medically treated. Most tuberculous aortic aneurysms are false aneurysms, caused by an adjacent tuberculous focus eroding the aortic wall. They present with pain, bleeding or as para-aortic masses.


CONCLUSIONS
Tuberculous false aneurysms of the aorta necessitate an early intervention before they rupture. Surgical treatment remains the preferred option but endovascular repair with a stent graft is a therapeutic alternative, to be considered in high-risk surgical patients.
Steichen
O
O
Laboratoire de Santé Publique et d'Informatique Médicale, Inserm, U729 Ingénierie des Connaissances en Santé, Institut de Recherche des Cordeliers, Paris, France. ost@club-internet.fr
Pellerin
O
O
Frank
M
M
Emmerich
J
J
Sapoval
M
M
Fiessinger
J-N
JN
Bura-Rivière
A
A
D017541:Aneurysm, False / Q000382:microbiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000382:microbiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D014381:Tuberculosis, Cardiovascular / Q000175:diagnosis* / Q000601:surgery