Choi Jong Bum, Yang Hyun Woong, Oh Seok Kyu, Yun Ki Jung
Department of Thoracic and Cardiovascular Surgery, Wonkwang University Hospital, Iksan, Jeonbuk, South Korea.
Ann Thorac Surg. 2003 Jun;75(6):1965-7. doi: 10.1016/s0003-4975(02)05017-8.
Tuberculous aortitis generally develops at the distal aortic arch and the descending aorta that are close to specific groups of mediastinal lymph nodes, but exceptionally it develops in the ascending aorta. We report a case of rupture of the ascending aorta after tuberculous aortitis in a 53-year-old man without a history of tuberculosis or evidence of a primary foci who underwent cardiopulmonary resuscitation due to severe hemoptysis with subsequent cardiac arrest. The tuberculous aortitis associated with rupture of the ascending aorta was treated with surgical resection and in situ graft placement.
结核性主动脉炎通常发生在主动脉弓远端和降主动脉，这些部位靠近特定组的纵隔淋巴结，但极少数情况下会发生在升主动脉。我们报告一例53岁男性患者，在无结核病史或原发性病灶证据的情况下，因严重咯血继发心脏骤停而接受心肺复苏，该患者在结核性主动脉炎后发生升主动脉破裂。伴有升主动脉破裂的结核性主动脉炎通过手术切除和原位移植进行治疗。
