Download PDF
CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR 2024; 08(02): 094-097
DOI: 10.1055/s-0043-1777847
Case Report

Mycotic Pseudoaneurysm of the Internal Mammary Artery: An Unusual Complication of Tuberculosis—Managed with Percutaneous Glue Embolization

Payal Mittal
1   Department of Radiodiagnosis, BLK MAX Hospital, New Delhi, India
,
Prem Kumar Ganesan
1   Department of Radiodiagnosis, BLK MAX Hospital, New Delhi, India
,
Abhinav Vats
2   Department of Interventional Radiology, BLK MAX Hospital, New Delhi, India
,
Ankit Parakh
3   Department of Pediatric Pulmonology & Sleep Medicine, BLK MAX Hospital, New Delhi, India
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Tuberculosis is still an endemic in many parts of the world. Vascular complications have been described in patients with tuberculosis and in aggressive chest infections such as actinomycoses. Etiology of internal mammary artery pseudoaneurysms includes iatrogenic causes or a complication of infection (mycotic aneurysm). Early diagnosis and treatment of these aneurysms are key to prevent complications such as hemorrhage, hemothorax, and hemorrhagic shock. In this case report, we describe the presentation and management of a 11-year-old patient with tuberculosis, who developed an internal mammary artery pseudoaneurysm during the course of treatment. We describe the case of a 11-year-old girl with known tuberculosis who developed a left internal mammary artery pseudoaneurysm, and treated with percutaneous ultrasound-guided glue embolization.

Keywords

mycotic pseudoaneurysm - internal mammary artery - percutaneous glue embolization


Publication History

Article published online:
05 January 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Yadav MK, Bhatia A, Kumar S, Khandelwal N. Internal mammary artery pseudoaneurysm: a rare fatal complication of tubercular empyema. Lung India 2013; 30 (04) 341-343
    CrossrefPubMedSearch in Google Scholar
  • 2 Wani NA, Rawa IA, Pala NA, Kosar T. Pseudoaneurysm of internal mammary artery caused by pulmonary actinomycosis. Br J Radiol 2010; 83 (995) e235-e238
    CrossrefPubMedSearch in Google Scholar
  • 3 Prasad RM, Liu JZ, Garces C. et al. Uncommon cause of internal mammary artery pseudoaneurysm. Ochsner J 2022; 22 (03) 244-248
    CrossrefPubMedSearch in Google Scholar
  • 4 Kim HY, Song KS, Goo JM, Lee JS, Lee KS, Lim TH. Thoracic sequelae and complications of tuberculosis. Radiographics 2001; 21 (04) 839-858 , discussion 859–860
    CrossrefPubMedSearch in Google Scholar
  • 5 Deshmukh H, Prasad SR, Patankar T, Zankar M. Internal mammary artery pseudoaneurysms complicating chest wall infection in children: diagnosis and endovascular therapy. Clin Imaging 2001; 25 (06) 396-399
    CrossrefPubMedSearch in Google Scholar
  • 6 Mittal R, Stephen E, Keshava SN, Moses V, Agarwal S. Percutaneous cyanoacrylate glue embolization for peripheral pseudoaneurysms: an alternative treatment. Indian J Surg 2012; 74 (06) 483-485
    CrossrefPubMedSearch in Google Scholar