Abstract
We report a rare case of a tuberculous mycotic aortoiliac pseudoaneurysm treated with an endovascular procedure and follow-up of 36 months. The patient was a white 72-year-old man with pulmonary tuberculosis and a former smoker with hypertension, chronic renal failure, and dyslipidemia. A computed tomographic scan of the abdomen and pelvis revealed a left paravertebral cavity with fluid content and involvement of vertebrae L2–L4. After a surgical repair attempt, the patient was treated with the implant of a bifurcated endoprosthesis. Because it is unlikely that any center has extensive experience in the management of this rare manifestation of the disease, we reviewed the literature for similar cases.
This is a preview of subscription content, log in via an institution to check access.
References
Jain AK, Chauhan RS, Dhammi IK et al (2007) Tubercular pseudoaneurysm of aorta: a rare association with vertebral tuberculosis. Spine J 7:249–253
Muller BT, Wegener OR, Grabitz K et al (2001) Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: experience with anatomic and extra-anatomic repair in 33 cases. J Vasc Surg 33:106–113
Bojar RM, Turner MT, Valdez S et al (1998) Homograft repair of a tuberculous pseudoaneurysm of the ascending aorta. Chest 114:1774–1776
Choudhary SK, Bhan A, Talwar S et al (2001) Tubercular pseudoaneurysms of aorta. Ann Thorac Surg 72:1239–1244
Volini FI, Olfield RC Jr, Thompson JR, Kent G (1962) Tuberculosis of the aorta. JAMA 181:78–83
Takahashi K, Maruyama A, Ainai S et al (1986) A case of tuberculous abdominal aortic aneurysm which ruptured and perforated the sigmoid. Nippon Geka Gakkai Zasshi 87:99–104
Greenhalgh RM, Brown LC, Kwong GP et al (2004) Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet 364(9437):843–848
Prinssen M, Verhoeven EL, Buth J et al (2004) A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med 351:1607–1618
LaBerge JM, Kerlan RK Jr, Reilly LM, Chuter TA (1999) Diagnosis please. Case 9: mycotic pseudoaneurysm of the abdominal aorta in association with mycobacterial psoas abscess: a complication of BCG therapy. Radiology 211:81–85
Liu WC, Kwak BK, Kim KN et al (2000) Tuberculous aneurysm of the abdominal aorta: endovascular repair using stent grafts in two cases. Korean J Radiol 1:215–218
Steichen O, Pellerin O, Frank M et al (2007) Endovascular repair of a tuberculous aortic false aneurysm. Rev Med Interne 28:196–198
Labrousse L, Montaudon M, Le Guyader A et al (2007) Endovascular treatment of a tuberculous infected aneurysm of the descending thoracic aorta: a word of caution. J Vasc Surg 46:786–788
Loh YJ, Tay KH, Mathew S et al (2007) Endovascular stent graft treatment of leaking thoracic aortic tuberculous pseudoaneurysm. Singapore Med J 48:e193–e195
Clough RE, Topple JA, Zayed HA et al (2010) Endovascular repair of a tuberculous mycotic thoracic aortic aneurysm with a custom-made device. J Vasc Surg 51:1272–1275
Han DK, Chung C, Walkup MH et al (2011) Endovascular stent-graft repair of a tuberculous mycotic aortic aneurysm. Ann Vasc Surg 25(699):e13–e16
Acknowledgments
We thank the nursing, secretarial, and technical staff of the catheterization laboratory of Hospital Nacional Alejandro Posadas for their enthusiasm and their belief that our efforts were worthwhile and useful.
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Villegas, M.O., Mereles, A.P., Tamashiro, G.A. et al. Endovascular Treatment of an Aortoiliac Tuberculous Pseudoaneurysm. Cardiovasc Intervent Radiol 36, 540–544 (2013). https://doi.org/10.1007/s00270-012-0398-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-012-0398-9