Abstract
An aneurysm of the descending thoracic aorta was found in a 55-year-old woman. She had hemoptysis, fever, and weight loss beginning 1 month before hospitalization. A miliary tuberculosis developed after angiography. The patient underwent surgical resection of the aneurysm, which proved to be tuberculous. The aortic wall was reconstructed with a Dacron patch. Antituberculosis pharmacotherapy, started before operation, was discontinued after 16 months of administration. The patient is doing well 19 months after operation. The English literature reports only 7 other cases of surgical treatment of tuberculous aneurysm of the thoracic aorta. According to previous reports, early surgical intervention, combined with preoperative and prolonged postoperative antituberculosis therapy and close postoperative follow-up, is mandatory in this group of patients. (Texas Heart Institute Journal 1992;19:142-5)
Keywords: Aneurysm, infected
Keywords: aorta, thoracic
Keywords: tuberculosis, cardiovascular
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- DE PROPHETIS N., ARMITAGE H. V., TRIBOLETTI E. D. Rupture of tuberculous aortic aneurysm into lung. Ann Surg. 1959 Dec;150:1046–1051. doi: 10.1097/00000658-195912000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Duncan J. M., Cooley D. A. Surgical considerations in aortitis. Part II: Mycotic aneurysms. Tex Heart Inst J. 1983 Dec;10(4):329–335. [PMC free article] [PubMed] [Google Scholar]
- Estrera A. S., Platt M. R., Mills L. J., Nikaidoh H. Tuberculous aneurysms of the descending thoracic aorta: report of a case with fatal rupture. Chest. 1979 Mar;75(3):386–388. doi: 10.1378/chest.75.3.386. [DOI] [PubMed] [Google Scholar]
- Felson B., Akers P. V., Hall G. S., Schreiber J. T., Greene R. E., Pedrosa C. S. Mycotic tuberculous aneurysm of the thoracic aorta. JAMA. 1977 Mar 14;237(11):1104–1108. [PubMed] [Google Scholar]
- Ilgenfritz F. M., Jordan F. T. Microbiological monitoring of aortic aneurysm wall and contents during aneurysmectomy. Arch Surg. 1988 Apr;123(4):506–508. doi: 10.1001/archsurg.1988.01400280116024. [DOI] [PubMed] [Google Scholar]
- KLINE J. L., DURANT J. Surgical resection of a tuberculous aneurysm of the ascending aorta. Report of a case. N Engl J Med. 1961 Dec 14;265:1185–1187. doi: 10.1056/NEJM196112142652404. [DOI] [PubMed] [Google Scholar]
- Quaini E., Donatelli F., Bonacina E., Vitali E., Colombo T., Panzeri E. Mycotic tuberculous aneurysm of the descending thoracic aorta. Tex Heart Inst J. 1985 Sep;12(3):257–260. [PMC free article] [PubMed] [Google Scholar]
- SILBERGLEIT A., ARBULU A., DEFEVER B. A., NEDWICKI E. G. TUBERCULOUS AORTITIS: SURGICAL RESECTION OF RUPTURED ABDOMINAL FALSE ANEURYSM. JAMA. 1965 Aug 2;193:333–335. doi: 10.1001/jama.1965.03090050009003. [DOI] [PubMed] [Google Scholar]
- STIEFEL J. W. Rupture of a tuberculous aneurysm of the aorta; review of the literature and report of a case. AMA Arch Pathol. 1958 May;65(5):506–512. [PubMed] [Google Scholar]
- Sandron D., Patra P., Lelann P., Bouillard J., Pioche D. Tuberculous pseudo-aneurysm of the descending thoracic aorta. Eur Respir J. 1988 Jun;1(6):565–567. [PubMed] [Google Scholar]
- VOLINI F. I., OLFIELD R. C., Jr, THOMPSON J. R., KENT G. Tuberculosis of the aorta. JAMA. 1962 Jul 14;181:78–83. doi: 10.1001/jama.1962.03050280008002. [DOI] [PubMed] [Google Scholar]