Endovascular percutaneous treatment of tuberculous pseudo-aneurysm involving the coeliac artery: a case report.
Pseudo-aneurysms involving the coeliac artery caused by tuberculosis infection are extremely rare and are highly susceptible to rupture.(1) It's difficult to make the correctly diagnosis preoperative and select reconstructive procedures. We report a case of tuberculous pseudo-aneurysm in the abdominal aorta involving the coeliac artery. The active phase of the tuberculous makes it impossible to perform open surgery, so endovascular percutaneous treatment was performed, inflow to the pseudo-aneurysm was excluded by placing a custom-made stent graft at the coeliac artery orifice. The patient recovered very well and was prescribed anti-tuberculosis treatment for up to 6 months. Endovascular repair for tuberculous pseudo-aneurysm may be a life-saving option, covering the coeliac artery with stent graft is considered safe and suitable.
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Department of Vascular Surgery, The Second Xiangya Hospital of Central South University, Middle Ren-Min Road No 139, Changsha, Hunan 410011, China. changshu_vascular@yahoo.cn
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Jiang
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D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000382:microbiology*; D017130:Angioplasty / Q000295:instrumentation / Q000379:methods*; D017544:Aortic Aneurysm, Abdominal / Q000382:microbiology* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002445:Celiac Artery; D005260:Female; D006801:Humans; D011859:Radiography; D015607:Stents; D014381:Tuberculosis, Cardiovascular / Q000601:surgery*; D016748:Venous Cutdown