title: Tuberculous mycotic aneurysm of aortic root: an unusual cause of cardiac tamponade.
abstract: We describe a young male who presented to the emergency room with sudden onset dyspnea, and was found to have aortic root aneurysm with aortic regurgitation and cardiac tamponade. He underwent a Bentall procedure, and excised aortic root tissue showed epithelioid cell granulomas with panaortitis. He was started on anti-tubercular therapy, with which he improved. Although tubercular aortitis is fairly common, tuberculous mycotic aneurysm of the aorta is rare, with involvement of the aortic root being exceedingly uncommon. We report only the fifth case in English literature of tuberculous mycotic aneurysm of the aortic root.
authors.affiliation: All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110029, India. drpchandrasekar@gmail.com
authors.forename: Chandrasekar
authors.initials: C
authors.lastname: Palaniswamy
authors.forename: Uma
authors.initials: U
authors.lastname: Kumar
authors.forename: Dhana Rekha
authors.initials: DR
authors.lastname: Selvaraj
authors.forename: Bimlesh
authors.initials: B
authors.lastname: Pandey
authors.forename: Rohini
authors.initials: R
authors.lastname: Handa
authors.forename: Narendra Kumar
authors.initials: NK
authors.lastname: Alappan
authors.forename: Hanish
authors.initials: H
authors.lastname: Sharma
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D000785:Aneurysm, Infected / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D000995:Antitubercular Agents; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002305:Cardiac Tamponade / Q000209:etiology*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva / Q000601:surgery; D016896:Treatment Outcome; D014381:Tuberculosis, Cardiovascular / Q000150:complications / Q000209:etiology / Q000601:surgery
chemical_list: D000995:Antitubercular Agents