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CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2002 February;43(1):59-62

CARDIAC SECTION 

 CASE REPORTS

Tuberculous pseudoaneurysm of the ascending aorta associated with intracranial tuberculoma

Shigemitsu O., Hadama T., Miyamoto S., Anai H., Sako H.

From ­the Department of Cardiovascular Surgery Oita Medical University Hasamamachi, Oita, Japan

A tuber­cu­lous aneu­rysm is ­rare ­and ­fatal ­because it ­may ­lead to a rup­ture ­due to ­the form­ing of a pseu­do­aneu­rysm. A ­lesion is espe­cial­ly uncom­mon in ­the ascend­ing aor­ta. We ­report an unusu­al ­case of tuber­cu­lous pseu­do­aneu­rysm of ­the ascend­ing aor­ta ­which devel­oped 7 ­months ­after ­the ­onset of mul­ti­ple intra­cra­ni­al tuber­cu­lo­ma in a 59-­year-­old ­man. He ­was treat­ed ­for mul­ti­ple intra­cra­ni­al tuber­cu­lo­mas in ­another hos­pi­tal ­because of head­ache ­and ­left homon­y­mous hem­i­ano­pia. The tem­po­ral intra­cra­ni­al tuber­cu­lo­mas ­were ­reduced ­after anti­tu­ber­cu­lous ­drug admin­is­tra­tion. However, ­they ­enlarged ­again short­ly there­af­ter. At ­that ­time, a pseu­do­aneu­rysm of ­the ascend­ing aor­ta ­was ­found, so he ­was intro­duced to ­our depart­ment. Intensive anti­tu­ber­cu­lous ­drugs ­were admin­is­tered per­i­op­er­a­tive­ly ­and post­op­er­a­tive­ly. The intra­cra­ni­al tuber­cu­lo­ma ­was ­reduced pre­op­er­a­tive­ly. After ­that, ­the ascend­ing aor­ta ­was suc­cess­ful­ly ­replaced ­with a Dacron ­graft. A ­hole ­was not­ed in ­the ­back of ­the ascend­ing aor­ta. Three ­years ­after ­the oper­a­tion, no symp­toms of recur­rence ­have ­been rec­og­nized. A tuber­cu­lous pseu­do­aneu­rysm of ­the ascend­ing aor­ta ­may eas­i­ly ­cause system­ic tuber­cu­lo­sis or rup­ture, there­fore it ­should be treat­ed as ear­ly as pos­sible.

language: English


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