title: Descending thoracic aortic aneurysm complicated with severe vertebral erosion.
abstract: We describe a case of successful surgical treatment for mycotic thoracic aortic aneurysm with vertebral erosion. A 70-year-old man presented with a 2 month history of back pain. Chest roentgenography and enhanced computed tomography showed a descending thoracic aortic aneurysm with destruction of T8-T10 vertebrae. We suspected that the formation of pseudoaneurysms was due to direct extension of tuberculous vertebral osteomyelitis. He was managed with a combination of surgery and antituberculous chemotherapy. No causative pathogen was identified from specimens obtained perioperatively. The postoperative course was uneventful and he remained well 2 years later.
authors.affiliation: Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan. ysk@msic.med.osaka-cu.ac.jp
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Takahashi
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Sasaki
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Shibata
authors.forename: Shigefumi
authors.initials: S
authors.lastname: Suehiro
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging* / Q000293:injuries; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods