[Endovascular repair of a tuberculous aortic false aneurysm]. / Traitement par voie endovasculaire d'un faux anévrisme tuberculeux de l'isthme aortique.
Rev Med Interne
; 28(3): 196-8, 2007 Mar.
Article
en Fr
| MEDLINE
| ID: mdl-17175072
INTRODUCTION: Aortic aneurysms are a well known but rare complication of tuberculosis. Their major complication is aneurysmal rupture, unforeseeable and lethal. EXEGESIS: Chest pain and hemoptoic expectoration revealed a false aneurysm of the aortic isthmus in a 48-year-old man. Endovascular repair with a stent graft was urgently undertaken. Tuberculosis was diagnosed 6 weeks thereafter by the growth of gastric juice cultures and medically treated. Most tuberculous aortic aneurysms are false aneurysms, caused by an adjacent tuberculous focus eroding the aortic wall. They present with pain, bleeding or as para-aortic masses. CONCLUSION: Tuberculous false aneurysms of the aorta necessitate an early intervention before they rupture. Surgical treatment remains the preferred option but endovascular repair with a stent graft is a therapeutic alternative, to be considered in high-risk surgical patients.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Tuberculosis Cardiovascular
/
Stents
/
Aneurisma de la Aorta Torácica
/
Aneurisma Falso
Límite:
Humans
/
Male
/
Middle aged
Idioma:
Fr
Revista:
Rev Med Interne
Año:
2007
Tipo del documento:
Article
País de afiliación:
Francia
Pais de publicación:
Francia