Endovascular treatment of multiple tuberculous mycotic aneurysm

Zhao, Shenyu; Wang, Zhe; Li, Yong; Hong, Wang; Zhao, Yu

doi:10.1097/md.0000000000015268

Cited by 8 publications

(7 citation statements)

References 13 publications

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“…The mean age of the patients was 57 years (range, 6-81 years), with a marked male predominance (13 men, 4 women). The main presenting symptoms were fever (7), chest pain (6), abdominal pain (4), low back pain (2), lower limb pain (2), hemoptysis (1), chest distress and dyspnea (1). Four of them had both chest pain and fever, one of them had both abdominal pain and fever, one of them had both lower limb pain and fever, and only fever was in one case.…”

Section: Resultsmentioning

confidence: 99%

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CT Imaging Manifestations of Tubercular Aortic Aneurysm

Xing

Sun

Chen

et al. 2021

Preprint

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Tubercular aortic aneurysm is a rare complication of tuberculosis but associated with very high mortality. Early diagnosis is critical, however, it is challenging due to nonspecific symptoms. This study summarized the CT features of tubercular aortic aneurysm in order to assist timely clinical diagnosis. Seventeen patients with confirmed tubercular aortic aneurysm between 2016 and 2020 were included in this study. The clinical manifestations, past medical history, laboratory and imaging examinations, treatments and other data were collected. CT angiography was routinely performed in all patients. Clinical and CT imaging data was collected and analyzed. All tuberculous aneurysms were pseudoaneurysms, which were located in the thoracic aorta, abdominal aorta, junction of thoracic and abdominal aorta or iliac aorta. The shapes of aneurysms were saccular or lobular. The diameter of aneurysm ranged from 30 to 120 mm. Thirteen patients had atherosclerosis. Mural thrombus was shown in 14 patients. Twelve patients showed enlarged lymph nodes which were found closely related to the aneurysm. Nine patients had tuberculous spondylitis including tuberculosis of thoracic lumbar and lumbosacral spine. Psoas abscess was showed in four patients and iliopsoas abscess was in one patient. Compared with other infectious aneurysms, tuberculous aneurysms typically show more cystic and lobulated shapes on CT scan, which are imaged as poured and unstressed. Another point of differential diagnosis is that the surrounding tissues and adjacent organs of tubercular aneurysms are usually infected with tuberculosis and most of them are accompanied by other sites of tuberculosis.

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Section: Resultsmentioning

confidence: 99%

“…TBAA is associated with high mortality due to its high risk of sudden rupture. No patients of TBAA were known to have survived, until the availability of combined technologies of modern imaging, anti-TB therapy and surgical treatment [7]. Early diagnosis and prompt treatment are signi cant for the improvement of survival [8].…”

Section: Introductionmentioning

confidence: 99%

CT Imaging Manifestations of Tubercular Aortic Aneurysm

Xing

Sun

Chen

et al. 2021

Preprint

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“…Recently, a case by Zhao et al [ 42 ] (2019) reported a male patient with chronic obstructive pulmonary disease who was diagnosed with multiple aneurysms. Endovascular repair using a microcore stent graft was performed.…”

Section: Discussionmentioning

confidence: 99%

Tuberculous Aortic Aneurysm - A Review

Altoijry¹

2022

Braz J Cardiovasc Surg

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“…It provides accelerated return to daily routine and early hospital discharge. Early administration of antitubercular treatment has been suggested before endovascular intervention to ameliorate the chances of tuberculosis and aneurysm recurrence 7 8. The patient selection and operative strategy act as critical compounders to patient outcome.…”

Section: Discussionmentioning

confidence: 99%

Endovascular salvage of tubercular aortitis presenting as descending thoracic aortic pseudoaneurysm in association with vertebral tuberculosis

2022

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A gentleman in his late 30s presented with a history of evening rise of temperature and generalised malaise of 1-week duration. He had associated upper back pain with tingling and numbness of both lower limbs. An unexplained episode of hypotension with hemoptysis propelled a computed tomography (CT) examination of chest which was suggestive of a pseudoaneurysm of the posterior wall of descending thoracic aorta in the vicinity of the Pott’s spine with a prevertebral and paravertebral abscess, for which he was referred to vascular surgeons.Tubercular involvement of vasculature is a rare disease, aortic involvement even rarer. Less than 50 cases of vertebral tuberculosis with tubercular thoracic aortic aneurysm have been reported in the medical literature, but the disease carries a colossal mortality and morbidity.After a multidisciplinary teamwork, thoracic endovascular aortic repair was done for exclusion of the aneurysmal segment, with simultaneous antitubercular and broad-spectrum antibiotic chemotherapy. The patient recuperated well.

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Endovascular treatment of multiple tuberculous mycotic aneurysm

Cited by 8 publications

References 13 publications

CT Imaging Manifestations of Tubercular Aortic Aneurysm

CT Imaging Manifestations of Tubercular Aortic Aneurysm

Tuberculous Aortic Aneurysm - A Review

Endovascular salvage of tubercular aortitis presenting as descending thoracic aortic pseudoaneurysm in association with vertebral tuberculosis

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