Division of Vascular & Endovascular Surgery, Department of General Surgery, Shohada-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Radiology & Medical Imaging Center, Department of General & Vascular Surgery, Shohada-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Vascular. 2022 Feb;30(1):21-26. doi: 10.1177/1708538121994370. Epub 2021 Feb 17.
BACKGROUND/OBJECTIVE: Hydatid disease of the aorta is very rare. Hydatid disease can result in saccular aneurysm of the thoracic and abdominal aorta.
We report a rare case of saccular aneurysm of the distal descending thoracic aorta. The diameter of the aneurysm was 60 mm. It was managed by Thoracic Endovascular Aneurysm Repair. After 41 months, computed tomography angiography revealed a multi-loculated cystic lesion with 86 × 83×80 mm dimensions in the prevertebral area at the T10-T11 level with bony destruction and erosion of the anterior margin of the vertebral bodies. A computed tomography-guided fine-needle aspiration of the paravertebral cystic lesion was performed. Microscopic study of the fine-needle aspiration specimen demonstrated diagnostic of hydatid disease.
It is concluded that the case was a mycotic aneurysm of the thoracic aorta secondary to vertebral hydatid disease.
背景/目的：主动脉包虫病非常罕见。包虫病可导致胸、腹主动脉囊状动脉瘤。
我们报告了一例罕见的胸降主动脉远端囊状动脉瘤病例。动脉瘤直径为 60mm，采用胸主动脉腔内修复术治疗。41 个月后，计算机断层扫描血管造影显示 T10-T11 水平椎体前方有一 86×83×80mm 大小的多房囊性病变，伴有骨破坏和椎体前缘侵蚀。对椎旁囊性病变进行了计算机断层扫描引导下的细针抽吸。细针抽吸标本的显微镜检查显示诊断为包虫病。
本例为胸主动脉真菌性动脉瘤，继发于椎体包虫病。
