title: Infected False Aneurysm of the Aortic Arch After Endoscopic Transurethral Instillation of Bacillus Calmette-Guérin.
abstract: The case of an 81-year-old male operated on for an infected false aneurysm of the aortic arch by Mycobacterium bovis (M. bovis) is described. Arch reconstruction with cryopreserved aortic patch was successfully performed under hypothermic circulatory arrest. Antituberculous chemotherapy was given for 12 months and presently the patient is leading a normal life. Vascular infection after bacillus Calmette-Guérin bladder therapy is uncommon and aortic arch involvement near exceptional. This diagnosis has to be considered in patients with such previous urologic interventions.
authors.affiliation: Department of Cardiovascular Surgery, Hospital Clínico, University of Barcelona, Barcelona, Spain.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Ventosa-Fernandez
authors.affiliation: Department of Internal Medicine, Hospital Clínico, University of Barcelona, Barcelona, Spain.
authors.forename: José C
authors.initials: JC
authors.lastname: Milisenda
authors.affiliation: Department of Cardiovascular Surgery, Hospital Clínico, University of Barcelona, Barcelona, Spain.
authors.forename: Daniel
authors.initials: D
authors.lastname: Pereda
authors.affiliation: Department of Cardiovascular Surgery, Hospital Clínico, University of Barcelona, Barcelona, Spain. Electronic address: cmestres@clinic.ub.es.
authors.forename: Carlos-A
authors.initials: CA
authors.lastname: Mestres
mesh_terms: D000283:Administration, Intravesical; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000382:microbiology*; D000785:Aneurysm, Infected / Q000382:microbiology*; D017545:Aortic Aneurysm, Thoracic / Q000382:microbiology*; D001500:BCG Vaccine / Q000008:administration & dosage* / Q000009:adverse effects*; D003558:Cystoscopy; D006801:Humans; D008297:Male; D014376:Tuberculosis / Q000382:microbiology*; D014521:Urethra; D001749:Urinary Bladder Neoplasms / Q000188:drug therapy
chemical_list: D001500:BCG Vaccine