Download PDF
CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2019; 03(01): 053-057
DOI: 10.1055/s-0038-1675861
Case Report
Indian Society of Vascular and Interventional Radiology

Multiple Synchronous Tuberculous Aneurysms

Reuban D'cruz
1   Department of Surgery, National University Hospital, Singapore
,
Dexter Y. S. Chan
1   Department of Surgery, National University Hospital, Singapore
,
Pei Ho
2   Department of Cardiac, Thoracic and Vascular Surgery, National University Health System, Singapore
3   Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
› Author Affiliations Funding None.
Further Information

Publication History

Received: 28 April 2018

Accepted after revision: 09 July 2018

Publication Date:
27 November 2018 (online)

Also available at
   Permissions and Reprints

Abstract

The authors report a case of a 35-year-old woman with a medical history of recently diagnosed pulmonary tuberculosis presenting with chest and back discomfort. Chest radiograph demonstrated a bulky hilar mass, and computed tomography revealed multiple saccular aneurysms in the thoracic aorta, multiple fusiform aneurysms in the coronary arteries, left renal and splenic arteries, and right internal iliac pseudoaneurysms. Surgical management of the mycotic aneurysms was indicated in view of symptomatology. Thoracic endovascular aortic repair (TEVAR) and ascending aortic replacement with aortic valve suspension and coil embolization of right iliac artery pseudoaneurysm were performed. The coronary artery aneurysms were managed with surveillance.

Keywords

tuberculous - mycotic - aneurysms
 

  • References

  • 1 Ringswald M, Roy TM. Synchronous mycotic aneurysms secondary to tuberculosis. J Ky Med Assoc 1989; 87 (07) 320-324
    PubMedGoogle Scholar
  • 2 Abaskaron M. Multiple pseudoaneurysms in a tuberculous patient. South Med J 1986; 79 (12) 1582-1584
    CrossrefPubMedGoogle Scholar
  • 3 Mechchat A, Idrissi R, El Mahi O. et al. [Multiple tuberculous aortic aneurysms in a child. A case report] [in French]. J Mal Vasc 2008; 33 (04) (05) 218-220
    CrossrefPubMedGoogle Scholar
  • 4 Long R, Guzman R, Greenberg H, Safneck J, Hershfield E. Tuberculous mycotic aneurysm of the aorta: review of published medical and surgical experience. Chest 1999; 115 (02) 522-531
    CrossrefPubMedGoogle Scholar
  • 5 Canaud L, Marzelle J, Bassinet L, Carrié AS, Desgranges P, Becquemin JP. Tuberculous aneurysms of the abdominal aorta. J Vasc Surg 2008; 48 (04) 1012-1016
    CrossrefPubMedGoogle Scholar
  • 6 Velayudhan BV, Idhrees AM, Sahu D, Jacob A. Open surgical repair of multiple tuberculous mycotic aneurysms of the thoracoabdominal aorta. J Thorac Cardiovasc Surg 2016; 152 (04) e95-e98
    CrossrefPubMedGoogle Scholar
  • 7 Choudhary SK, Bhan A, Talwar S, Goyal M, Sharma S, Venugopal P. Tubercular pseudoaneurysms of aorta. Ann Thorac Surg 2001; 72 (04) 1239-1244
    CrossrefPubMedGoogle Scholar
  • 8 Han DK, Chung C, Walkup MH, Faries PL, Marin ML, Ellozy SH. Endovascular stent-graft repair of a tuberculous mycotic aortic aneurysm. Ann Vasc Surg 2011; 25 (05) 699.e13-699.e16
    PubMedGoogle Scholar
  • 9 Labrousse L, Montaudon M, Le Guyader A, Choukroun E, Laurent F, Deville C. Endovascular treatment of a tuberculous infected aneurysm of the descending thoracic aorta: a word of caution. J Vasc Surg 2007; 46 (04) 786-788
    CrossrefPubMedGoogle Scholar
  • 10 Aebert H, Birnbaum DE. Tuberculous pseudoaneurysms of the aortic arch. J Thorac Cardiovasc Surg 2003; 125 (02) 411-412
    CrossrefPubMedGoogle Scholar
  • 11 Bojar RM, Turner MT, Valdez S, Haskal R, McGowan K, Khabbaz KR. Homograft repair of a tuberculous pseudoaneurysm of the ascending aorta. Chest 1998; 114 (06) 1774-1776
    CrossrefPubMedGoogle Scholar
  • 12 Devabhaktuni S, Mercedes A, Diep J, Ahsan C. Coronary artery ectasia—a review of current literature. Curr Cardiol Rev 2016; 12 (04) 318-323
    CrossrefPubMedGoogle Scholar
  • 13 Dahhan A. Coronary artery ectasia in atherosclerotic coronary artery disease, inflammatory disorders, and sickle cell disease. Cardiovasc Ther 2015; 33 (02) 79-88
    CrossrefPubMedGoogle Scholar
  • 14 Fukuhara S, Takase E, Fujimoto T. et al. [Coronary ectasia resulting in thrombotic coronary occlusion after warfarin interruption: a case report] [in Japanese]. J Cardiol 2005; 46 (05) 195-200
    PubMedGoogle Scholar
  • 15 Kar S, Webel R. Diagnosis and treatment of spontaneous coronary artery pseudoaneurysm: rare anomaly with potentially significant clinical implications. Catheter Cardiovasc Interv 2017; 90 (04) 589-597
    CrossrefPubMedGoogle Scholar