Bakzaza Oualid, Arsalane Adil, Almaghraoui Oussama, Benbakh Soukaina, Zidane Abdelfatah, Belhadj Ayoub, Alaoui Mustapha
Faculty of Medicine and Pharmacy Mohamed VI, Avicenne Military Hospital Vascular Surgery Department, Cady-Ayyad University, Marrakech, Morocco.
Faculty of Medicine and Pharmacy Mohamed VI, Department of Thoracic Surgery, Avicenna Military Hospital, Cady-Ayyad University, Marrakech, Morocco.
Ann Vasc Surg. 2019 Apr;56:356.e7-356.e10. doi: 10.1016/j.avsg.2018.10.012. Epub 2018 Nov 26.
Tuberculous aortic aneurysms are rare. Localization in the isthmus of the aorta is still exceptional. It often presents as a false aneurysm, which exposes to the risk of rupture, whatever the size of the aneurysm, and worsens the prognosis. The treatment of reference relies on surgery in association with antituberculosis treatment. The endovascular approach with stent grafts can be an alternative as presented in this case report, in which traditional surgery was judged to be at risk in a nonagenarian patient.
结核性主动脉瘤较为罕见。位于主动脉峡部的情况仍属异常。它常表现为假性动脉瘤，无论动脉瘤大小，都有破裂风险，且会使预后恶化。标准治疗方法是手术联合抗结核治疗。如本病例报告所示，对于一位老年患者，传统手术被认为有风险，血管内支架植入术可作为一种替代方案。
