Surgical Case of Tuberculous Abdominal Aortic Aneurysm and Thoracic Aortic Aneurysm with Miliary Tuberculosis
- VernacularTitle:粟粒結核に伴った結核性腹部大動脈瘤と胸部大動脈瘤の同時発生の1手術例
- Author:
Tomoki TAMURA
1
;
Yuta MURAI
1
;
Tsuyoshi TAKETANI
2
;
Tetsuya HORAI
1
Author Information
- Keywords: tuberculous aneurysm of the aorta; patch closure; miliary tuberculosis
- From:Japanese Journal of Cardiovascular Surgery 2023;52(1):50-54
- CountryJapan
- Language:Japanese
- Abstract: A 48-year-old woman was scheduled to undergo wrist surgery at the orthopedic surgery clinic. She was adventitiously diagnosed with miliary tuberculosis and saccular-type aneurysms in the suprarenal abdominal aorta and descending thoracic aorta during preoperative examination. Consequently, she received antituberculosis medications. However, the abdominal aortic aneurysm had enlarged rapidly 2 months later. Accordingly, we used an artificial graft patch bonded with rifampicin for the abdominal aortic aneurysm and resected the aneurysm and reconstructed the aorta through partial extracorporeal circulation by clamping the descending thoracic aorta and infrarenal abdominal aorta. Finally, we performed a thoracic endovascular aortic repair of the thoracic aortic aneurysm. Culture of the samples from the wall of the abdominal aortic aneurysm indicated Mycobacterium tuberculosis; therefore, the patient was diagnosed with a tuberculous aneurysm of the aorta. Her postoperative course was good, and she was discharged on day 36. At postoperative month 7, the patient is still on antituberculosis medications and has not experienced a recurrence.
