Tuberculous aneurysms of the abdominal aorta.
Mycotic aneurysm secondary to tuberculous infection of the aorta is a rare and life-threatening disease. We report a single-center experience of three patients treated with a combination of surgical aortic replacement and prolonged antituberculosis therapy. The first case is a 34-year-old woman with a suprarenal abdominal aortic aneurysm, the second case is a 77-year-old man with an infrarenal abdominal aortic aneurysm and a right psoas abscess, the third case is a 37-year-old woman with an infrarenal abdominal aortic aneurysm. All patients had a favorable outcome with a mean follow-up of 6.2 years (range, 6 months-10 years). Early diagnosis and a combination of surgical intervention (aortic reconstruction and extensive excision of the infected field) and prolonged antituberculous drug therapy provide long-term survival without evidence of recurrence after tuberculous aortic involvement.
Canaud
Ludovic
L
Service de Chirurgie Vasculaire, Hôpital Henri Mondor, University of Paris, XII, Créteil, France.
Marzelle
Jean
J
Bassinet
Laurence
L
Carrié
Anne-Sophie
AS
Desgranges
Pascal
P
Becquemin
Jean-Pierre
JP
D000328:Adult; D000368:Aged; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000628:therapy; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D014381:Tuberculosis, Cardiovascular / Q000175:diagnosis / Q000628:therapy