Tuberculous-infected aortic aneurysms are rare, but delayed diagnosis can lead to serious complications, including sudden aortic rupture. Here, we report a case of a tuberculous infected aneurysm in the thoracic aorta that was mistaken for lymphadenopathy. In this case, we could differentiate the lesion with the aid of contrast-enhanced computed tomography and positron emission tomography (PET). This case demonstrates the diagnostic value of PET in aortic aneurysms.
Aneurysm, Infected* ; Aorta, Thoracic* ; Aortic Aneurysm ; Aortic Rupture ; Delayed Diagnosis ; Lymphatic Diseases* ; Mycobacterium tuberculosis ; Positron-Emission Tomography

With increasing number of the elderly persons, the incidence of aortic aneurysm is increasing too. Infected aneurysm is considered as a lesion of the arterial wall due to bacterial contamination, and most infected aneurysms are the complication of preexisting aneurysms. Uncommonly an infected aortic aneurysm may rupture into adjacent internal organs or the retroperitoneum, and rarely this may result in pyogenic spondylitis. Salmonella is a relatively uncommon organism in infectious spondylitis, and accounts for less than 1% of infectious spondylitis. Salmonella spondylitis is frequently encountered in patients having an immnosuppression state, sickle cell anemia, lymphoma or chronic liver disease. Recently, the authors experienced a case of Salmonella spondylitis concomitant with a ruptured infected aortic aneurysm and reported this case with a literature reviews.
Aged ; Anemia, Sickle Cell ; Aneurysm ; Aneurysm, Infected ; Aortic Aneurysm* ; Humans ; Incidence ; Liver Diseases ; Lymphoma ; Rupture ; Salmonella* ; Spondylitis*

Endovascular aortic repair is often performed for the treatment of aortic disease because of less invasiveness and fewer complications. Cardiac tamponade is a fatal disease that can lead to death if not treated properly. Cardiac puncture by rigid guide wire used in endovascular aortic repair may cause cardiac tamponade. Rapid diagnosis and treatment are needed when cardiac tamponade occurs. Confirmation of the cardiac tamponade can be accomplished with echocardiography. Continuous echocardiography should be monitor for detection of cardiac complications during endovascular aortic repair.
Aneurysm, Dissecting ; Aortic Diseases ; Cardiac Tamponade ; Diagnosis ; Echocardiography ; Endovascular Procedures ; Punctures ; Rupture

Mycotic aneurysm of the abdominal aorta is a rare disease. Despite intensive antibiotic therapy, rupture leads to a high mortality rate, so early diagnosis and treatment is very important. Rupture is the most common complication of abdominal aortic aneurysm, while renal artery stenosis is very rare. We report the radiologic findings of mycotic aneurysm of the suprarenal abdominal aorta leading to right renal artery stenosis induced by mass effect and renovascular hypertension.
Aneurysm, Infected* ; Aorta, Abdominal* ; Aortic Aneurysm, Abdominal ; Constriction, Pathologic* ; Early Diagnosis ; Hypertension, Renovascular ; Mortality ; Rare Diseases ; Renal Artery Obstruction ; Rupture

With the advancement of multi-detector spiral computer tomography (MSCT) and Z-axis resolution, CT has progressively been applied in showing the anatomy and disease of vessels; therefore, CTA is increasingly important to the diagnosis of vascular diseases. In this paper we focuses on a review of the progress of MSCT and CTA in diagnosing aortic diseases.
Aneurysm, Dissecting ; diagnostic imaging ; Aortic Aneurysm ; diagnostic imaging ; Aortic Diseases ; diagnostic imaging ; Humans ; Takayasu Arteritis ; diagnostic imaging ; Tomography, Spiral Computed ; methods

We report a case of successful endovascular treatment of a pseudoaneurysm and the obstruction of an aorto-aortic bypass graft, which had been performed to treat Takayasu's arteritis fifteen years prior, at the thoracic aorta. Along with the immediate relief of proximal hypertension that had caused severe heart failure, the successful exclusion of the pseudoaneurysm and the patency of the stem graft were maintained three years after the procedure.
Aneurysm, False ; Aorta, Thoracic ; Aortic Aneurysm ; Heart Failure ; Humans ; Hypertension ; Stents ; Takayasu Arteritis* ; Transplants* ; Vascular Diseases

OBJECTIVESTo review the experience with the hybrid operations for patients with thoracoabdominal aortic diseases, as well as to evaluate and discuss the outcomes.

METHODSBetween June 2008 and September 2011, 11 patients (9 male and 2 female, mean age 52 years) were treated by hybrid operation. Hybrid operation includes debranching of the visceral arteries, followed by endovascular repair of the diseases (include aneurysmal disease, aortic dissection, or Takayasu's arteritis).

RESULTSAll the operations were successful. The mean operating time was 8.5 hours for patients done in one stage and 8.1 hours for the first stage of patient related in two stages. The endovascular stage took on average 2.0 hours. Overall mortality rate was 1/11 and morbidity was 4/11. No aneurysm-related death occurred. Two patients developed endoleak. Permanent paraplegia and renal failure rate was 0. Mean follow-up was 13.5 months.

CONCLUSIONHybrid operation is a mini invasive and safe method for thoracoabdominal aortic diseases with acceptable morbidity and mortality.

Adult ; Aged ; Aneurysm, Dissecting ; surgery ; Aortic Aneurysm, Thoracic ; surgery ; Aortic Diseases ; surgery ; Blood Vessel Prosthesis Implantation ; Female ; Humans ; Male ; Middle Aged ; Stents ; Vascular Surgical Procedures ; methods

Aneurysm, Dissecting ; genetics ; Aortic Aneurysm ; genetics ; Diseases in Twins ; Humans ; Male

Aneurysms of the superior mesenteric artery are rare, accounting for 8% of visceral artery aneurysms. About 60% of all superior mesenteric artery aneurysms have a mycotic origin. The only helpful clinical manifestations are episodes of previous abdominal pain and a history of valvular heart disease. In this case, a 66-year-old female patient with mitral regurgitation and aortic regurgitation presented with pain in the upper abdominal area. A superior mesenteric artery aneurysm was diagnosed at the time of impending rupture. Since excellent collateral circulation was present, an aneurysmectomy without revascularization was performed, and no ischemic symptom occurred. The patient presented no major complications during the postoperative course.
Abdominal Pain ; Aged ; Aneurysm ; Aneurysm, Infected* ; Aortic Valve Insufficiency ; Arteries ; Collateral Circulation ; Endocarditis* ; Female ; Heart Valve Diseases ; Humans ; Mesenteric Artery, Superior* ; Mitral Valve Insufficiency ; Rupture

The surgical managements for the complicated aortic disease is still one of most challenging fields for the cardiac surgeons. The endovascular stent graft procedure has been tried recently to avoid serious complications caused by traditional graft replacement technique. However, indications for the procedures or management methods for the complications have not been clearly elucidated so far. We report a case of successful management for the newly-onset aneurysmal dilation of the distal aorta after an endovascular stent graft procedure in a patient with acute aortic dissection type IIIB.
Aneurysm* ; Aneurysm, Dissecting ; Aorta* ; Aortic Aneurysm ; Aortic Diseases ; Blood Vessel Prosthesis* ; Humans ; Stents* ; Transplants