[结核性主动脉假性动脉瘤的血管内修复术]

[Endovascular repair of a tuberculous aortic false aneurysm].

作者信息

Steichen O, Pellerin O, Frank M, Emmerich J, Sapoval M, Fiessinger J-N, Bura-Rivière A

机构信息

Laboratoire de Santé Publique et d'Informatique Médicale, Inserm, U729 Ingénierie des Connaissances en Santé, Institut de Recherche des Cordeliers, Paris, France.

出版信息

Rev Med Interne. 2007 Mar;28(3):196-8. doi: 10.1016/j.revmed.2006.11.017. Epub 2006 Dec 5.

DOI:10.1016/j.revmed.2006.11.017

PMID:17175072

Abstract

INTRODUCTION

Aortic aneurysms are a well known but rare complication of tuberculosis. Their major complication is aneurysmal rupture, unforeseeable and lethal.

EXEGESIS

Chest pain and hemoptoic expectoration revealed a false aneurysm of the aortic isthmus in a 48-year-old man. Endovascular repair with a stent graft was urgently undertaken. Tuberculosis was diagnosed 6 weeks thereafter by the growth of gastric juice cultures and medically treated. Most tuberculous aortic aneurysms are false aneurysms, caused by an adjacent tuberculous focus eroding the aortic wall. They present with pain, bleeding or as para-aortic masses.

CONCLUSION

Tuberculous false aneurysms of the aorta necessitate an early intervention before they rupture. Surgical treatment remains the preferred option but endovascular repair with a stent graft is a therapeutic alternative, to be considered in high-risk surgical patients.

摘要