1/12. Tuberculous infection of the descending thoracic and abdominal aorta: case report and literature review.We report here a case of infrarenal aortic disruption and aortoduodenal fistula secondary to tuberculous aortitis in a 77-year-old man. From a review of experience with operative management of tuberculous infection of the descending thoracic and abdominal aorta reported in the English-language literature, including the current report, we found that operative repair was attempted in 26 patients with tuberculous aortitis of the abdominal (n = 16), thoracic (n = 8), and thoracoabdominal (n = 2) aorta. Six patients had emergent operations for massive hemoptysis (n = 2), aortoduodenal fistula (n = 2), or abdominal rupture (n = 2), with an associated 30-day mortality of 50%. Elective or semi-elective repair was undertaken in 20 patients, of whom 19 (95%) survived for at least 30 days. On the basis of limited experience with this rare entity, in situ graft replacement is an appropriate treatment of tuberculous aneurysms and pseudoaneurysms of the descending thoracic and abdominal aorta.- - - - - - - - - - ranking = 1keywords = pseudoaneurysm (Clic here for more details about this article) |
2/12. Tuberculous pseudoaneurysm of the femoral artery: a case report.Pseudoaneurysm of the femoral artery is an extremely rare complication of tuberculosis. We present a case of tuberculous femoral pseudoaneurysm that was successfully treated with resection, direct anastomosis, and postoperative antituberculous chemotherapy.- - - - - - - - - - ranking = 5keywords = pseudoaneurysm (Clic here for more details about this article) |
3/12. Tuberculous pseudoaneurysm of the descending thoracic aorta: successful treatment by surgical excision and primary repair.Tuberculous pseudoaneurysm of the aorta is a rare disease with a high mortality rate. We present the case of a 27-year-old woman who had a tuberculous pseudoaneurysm of the descending thoracic aorta. The patient underwent successful excision and primary repair of the lesion while under hypothermic circulatory arrest and partial femoral bypass. To the best of our knowledge, this is the youngest patient to be successfully treated with surgery for a tuberculous pseudoaneurysm of the descending thoracic aorta. The pathogenesis, diagnosis, and treatment of this disease are reviewed, and the need to include tuberculous pseudoaneurysm in the differential diagnosis of chest lesions is emphasized.- - - - - - - - - - ranking = 8keywords = pseudoaneurysm (Clic here for more details about this article) |
4/12. Tubercular pseudoaneurysms of aorta.BACKGROUND: Tubercular pseudoaneurysm of aorta is a rare but important complication of tuberculosis. With worldwide resurgence of tuberculosis due to increasing incidence of drug-resistant tuberculosis and its association with acquired immunodeficiency syndrome, the tubercular pseudoaneurysm has become a real clinical entity. methods: In the past 3 years, 5 young patients (22 to 40 years) presented with tubercular pseudoaneurysm. Site of involvement included ascending aorta, distal aortic arch, proximal descending thoracic aorta, distal descending thoracic aorta, and infrarenal abdominal aorta. Two patients had macroscopic focus of tuberculosis in the nearby vicinity, and all 5 patients had evidence of active/treated pulmonary pericardial tuberculosis. All patients either had received antitubercular therapy previously or were receiving it at the time of presentation. Rapid deterioration in the clinical status was the most marked clinical feature. All patients underwent operation. Graft interposition was performed in 2, patch repair in 2, and direct closure of the rent was performed in 1 patient. All 5 patients received antitubercular therapy in the postoperative period. RESULTS: All patients survived the operation and were discharged from the hospital. One patient developed recurrence at the original site after 8 months and died at reoperation. The remaining patients are symptom free at 18 to 36 months postoperatively. CONCLUSIONS: A combination of chemotherapy and operation yields gratifying results for the treatment of tubercular pseudoaneurysm.- - - - - - - - - - ranking = 8keywords = pseudoaneurysm (Clic here for more details about this article) |
5/12. Repair of tuberculous aneurysm of distal aortic arch.A 65 year old female patient presented with one episode of massive haemoptysis requiring transfusion and subsequently cough with streaky haemoptysis. Computerized tomographic scan and angiogram revealed aneurysm of the distal aortic arch. She underwent elective repair of the pseudoaneurysm through median sternotomy and the bronchial communication was closed through left thoracotomy. Tubercle bacilli were identified in the contents and excised wall of aortic tissue.- - - - - - - - - - ranking = 1keywords = pseudoaneurysm (Clic here for more details about this article) |
6/12. Tuberculous aneurysm of the supraceliac aorta--a case report.Significant vascular complications are rare following systemic infections with mycobacterium tuberculosis (TB). This report describes a 33-year-old man who presented with a short history of abdominal discomfort and febrile episodes with no prior history of infection with TB. Ultrasound, CT scan, and aortography confirmed the presence of a pseudoaneurysm originating from the posterior aspect of the supraceliac aorta at the level of the diaphragm. Via a full thoracoabdominal approach, periaortic inflammatory tissue and the aortic wall itself were debrided, and repair of the pseudoaneurysm was achieved with a synthetic patch. mycobacterium tuberculosis was isolated from the aortic wall, and anti-TB medications were instituted. Postoperatively the patient did well and was discharged after 14 days. As illustrated by this case, tuberculous mycotic aneurysms of the aorta are optimally treated with a combination of medical and surgical therapy, and early diagnosis is essential to ensure survival.- - - - - - - - - - ranking = 2keywords = pseudoaneurysm (Clic here for more details about this article) |
7/12. Tuberculous pseudoaneurysm of the celiac artery. A case report.We report a case of tuberculous pseudoaneurysm in the neck of the celiac artery involving the aorta. recurrence of the aneurysm occurred after attempted direct repair. Therefore redo-surgery was performed, which involved resection of aneurysm and removal of the infected tissue with bilateral axillofemoral bypass.- - - - - - - - - - ranking = 5keywords = pseudoaneurysm (Clic here for more details about this article) |
8/12. Recurrent tuberculous pseudoaneurysm of the descending thoracic aorta--a case report.Tuberculous pseudoaneurysm of the aorta is a rare disease that is uniformly fatal if not treated properly. The authors present a case of a recurrent tuberculous false aneurysm of the descending thoracic aorta that was treated surgically with excision and primary repair of the lesion. To their knowledge, this is the first reported case of recurrent disease after a successful surgical treatment.- - - - - - - - - - ranking = 5keywords = pseudoaneurysm (Clic here for more details about this article) |
9/12. Multiple pseudoaneurysms in a tuberculous patient.I have presented the case of a 20-year-old woman with tuberculous pseudoaneurysm of the innominate artery associated with another pseudoaneurysm of the abdominal aorta. I believe this is the first report of such a case in the literature.- - - - - - - - - - ranking = 6keywords = pseudoaneurysm (Clic here for more details about this article) |
10/12. Myocardial tuberculoma with rupture and pseudoaneurysm formation--successful surgical treatment.A case of left ventricular pseudoaneurysm due to rupture of a myocardial tuberculoma is presented. The diagnosis of pseudoaneurysm was initially suggested by echocardiography and was confirmed by angiocardiography. The aetiology was suggested at operation and confirmed by histological examination. This is a very rare condition which is usually diagnosed only at necropsy.- - - - - - - - - - ranking = 6keywords = pseudoaneurysm (Clic here for more details about this article) |
| | Next -> |