title: Endovascular stent-graft repair of a tuberculous mycotic aortic aneurysm.
abstract: Mycobacterium tuberculosis is a rare cause of mycotic aortic aneurysms, which have been classically treated with a combination of antimycobacterial medical therapy and open surgery. Endovascular therapy has been gaining popularity as an alternative to open surgery for mycotic aneurysms. We report a case of a tuberculous mycotic aneurysm of the descending thoracic aorta that was successfully treated with endovascular stent-graft placement with complete resolution of the pseudoaneurysm at 1 year. We also review other cases in the previously published data to identify factors that may affect the outcome of endovascular treatment of tuberculous mycotic aneurysms.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Mount Sinai School of Medicine, New York, NY, USA. daniel.han@mssm.edu
authors.forename: Daniel K
authors.initials: DK
authors.lastname: Han
authors.forename: Christine
authors.initials: C
authors.lastname: Chung
authors.forename: Maggie H
authors.initials: MH
authors.lastname: Walkup
authors.forename: Peter L
authors.initials: PL
authors.lastname: Faries
authors.forename: Michael L
authors.initials: ML
authors.lastname: Marin
authors.forename: Sharif H
authors.initials: SH
authors.lastname: Ellozy
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D000995:Antitubercular Agents / Q000627:therapeutic use; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014381:Tuberculosis, Cardiovascular / Q000382:microbiology / Q000601:surgery*
chemical_list: D000995:Antitubercular Agents