Tuberculous Mycotic Aneurysm of the Aorta

Long, Richard; Guzman, Randolph; Greenberg, Howard M.; Safneck, Janice R.; Hershfield, Earl S.

doi:10.1378/chest.115.2.522

Cited by 227 publications

(96 citation statements)

References 52 publications

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“…As for hepatic artery aneurysms, nearly 50%are pseudoaneurysms most frequently caused by trauma, percutaneous diagnostic and therapeutic biliary tract procedures and surgical operation, but quite rarely by tuberculosis (7, 1 1). Mosttuberculous aneurysmsare saccular andpseudoaneurysms, and show a rapid growth (8,12). The mechanismof aneurysmformation is thought to be erosion of the vessel wall by a contiguous focus of tuberculosis, and in a few cases by direct seeding of the intima, adventitia or media via the vasa vasorum.…”

Section: Discussionmentioning

confidence: 99%

“…All cases of aortic tuberculous aneurysms require both surgical resection and treatment with antituberculous drugs because of rapid growth (8,13). Pseudoaneurysms of the hepatic artery also enlarge rapidly due to arterial pressure.…”

Section: Discussionmentioning

confidence: 99%

“…Long et al (8) reported that 46% of41 cases with tuberculous mycotic aneurysms of the aorta were associated with disseminated tuberculosis, and suggested that hematogenous dissemination of the tubercle bacilli may be subsequent to the tuberculous inflammation of the aortic wall (9). Furthermore, other studies have reported that tuberculous aneurysmsoften occur during treatment of miliary tuberculosis (2, 10).…”

Section: Introductionmentioning

confidence: 99%

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Hepatic Artery Pseudoaneurysms in a Patient Treated for Miliary Tuberculosis.

et al. 2000

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A 70-year-old womanwith fever was admitted to our hospital. She was diagnosed as miliary tuberculosis and treated with antituberculous drugs. After seven weeks of therapy, she developed a sudden sharp upper abdominal pain and shock. Angiography of the celiac artery showed two hepatic artery pseudoaneurysms with extravasation. The hemorrhage was successfully stopped by microcoil embolization. The clinical course suggested that miliary tuberculosis had caused the pseudoaneurysms. Although aneurysms rarely occur as a complication of miliary tuberculosis, they should be diagnosed as early as possible because of the high rate of rupture and associated high mortality rate. (Internal Medicine 39: 994-998, 2000)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hepatic Artery Pseudoaneurysms in a Patient Treated for Miliary Tuberculosis.

et al. 2000

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“…Moreover, infected aortic aneurysms due to various fungal infections have also been reported, such as Candida, Cryptococcus, and Aspergillus [56][57][58]. Mycobacterium species could also result in infected aortic aneurysms [59,60], while Bacillus Calmette-Guérin-related abdominal aorta infection has also been reported in Ref. [61].…”

Section: Bacteriologymentioning

confidence: 99%

Infected Aortic Aneurysms

Lin¹,

Kan²

2017

Aortic Aneurysm

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Infected aortic aneurysms are surgical urgencies, requiring prompt management to avoid the development of catastrophic complications. Although traditional open surgery composed of radical debridement and aortic reconstruction remains the gold-standard, many favorable results of the endovascular repair strategy have been reported. In this chapter, the etiology, bacteriology, clinical manifestation, and diagnostic criteria of infected aortic aneurysms will be discussed in detail at first, followed by a comprehensive review of both traditional open surgery and endovascular repair, based on current evidences and the authors' institutional experience. Along with long-term oral antibiotic suppression and aggressive adjunctive procedures, endovascular repair for uncomplicated infected aortic aneurysms could be a definite treatment alternative to traditional open surgery in the endovascular era.

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“…These complications are treatable, but may be fatal if not treated properly (1)(2)(3)(4)(5)(6). Conventional treatment consists of surgical repair and antituberculosis chemotherapy (1)(2)(3)(4). Endovascular repair has been proposed as an alternative to open surgery in selected patients (2,7).…”

Section: Introductionmentioning

confidence: 99%