Korean J Thorac Cardiovasc Surg.  2012 Dec;45(6):408-411. 10.5090/kjtcs.2012.45.6.408.

Tuberculous Aortitis Complicated with Pseudoaneurysm Formation in the Descending Thoracic Aorta: A Case Report

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. jbkim1975@amc.seoul.kr

Abstract

A 51-year-old male with sustained fever was diagnosed with military tuberculosis and tuberculous aortitis complicated with pseudoaneurysm formation at the proximal descending aorta. A follow-up computed tomography evaluation showed an increased size of the pseudoaneurysm in this area, suggestive of a contained rupture. Consequently, the patient underwent emergency excision and replacement of the aorta using a left heart bypass. The patient was discharged without postoperative complications on post-operative day 12. During the one-year follow-up period, the patient was free of any complications or recurrence of tuberculosis. We report a case of pseudoaneurysm of the descending aorta that was successfully surgically repaired.

Keyword

Tuberculosis; Aneurysm, false; Aorta; Left heart bypass

MeSH Terms

Aneurysm, False
Aorta
Aorta, Thoracic
Aortitis
Emergencies
Fever
Follow-Up Studies
Heart Bypass, Left
Humans
Male
Middle Aged
Military Personnel
Postoperative Complications
Recurrence
Rupture
Tuberculosis
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