Endovascular stent-graft repair of a tuberculous mycotic aortic aneurysm

Ann Vasc Surg. 2011 Jul;25(5):699.e13-6. doi: 10.1016/j.avsg.2010.12.029. Epub 2011 Apr 21.

Abstract

Mycobacterium tuberculosis is a rare cause of mycotic aortic aneurysms, which have been classically treated with a combination of antimycobacterial medical therapy and open surgery. Endovascular therapy has been gaining popularity as an alternative to open surgery for mycotic aneurysms. We report a case of a tuberculous mycotic aneurysm of the descending thoracic aorta that was successfully treated with endovascular stent-graft placement with complete resolution of the pseudoaneurysm at 1 year. We also review other cases in the previously published data to identify factors that may affect the outcome of endovascular treatment of tuberculous mycotic aneurysms.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / microbiology
  • Aneurysm, False / surgery*
  • Aneurysm, Infected / diagnostic imaging
  • Aneurysm, Infected / microbiology
  • Aneurysm, Infected / surgery*
  • Antitubercular Agents / therapeutic use
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / microbiology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Endovascular Procedures* / instrumentation
  • Female
  • Humans
  • Middle Aged
  • Mycobacterium tuberculosis / isolation & purification*
  • Stents
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Tuberculosis, Cardiovascular / microbiology
  • Tuberculosis, Cardiovascular / surgery*

Substances

  • Antitubercular Agents