Document Detail


Tuberculous aneurysm of the supraceliac aorta--a case report.
MedLine Citation:
PMID:  14760484     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Thomas L Forbes; Jeremy R Harris; Robert G Nie; D Kirk Lawlor
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  38     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2004 Jan-Feb
Date Detail:
Created Date:  2004-02-04     Completed Date:  2004-05-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  93-7     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada. Tom.Forbes@lhsc.on.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, False / microbiology*,  therapy
Antitubercular Agents / therapeutic use
Aorta / microbiology*
Humans
Male
Mycobacterium tuberculosis / isolation & purification*
Tuberculosis / diagnosis*,  therapy
Tuberculosis, Cardiovascular / diagnosis*,  therapy
Chemical
Reg. No./Substance:
0/Antitubercular Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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