Chen Yurou, Sheng Bo, Li Jia, Lv Furong
Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Front Med (Lausanne). 2022 May 26;9:882697. doi: 10.3389/fmed.2022.882697. eCollection 2022.
Thoracic aortic pseudoaneurysm associated with spinal tuberculosis is a rare but fatal condition. The risk of pseudoaneurysm rupture is extremely high and this disease needs greater awareness. The present study reported a case of thoracic aortic pseudoaneurysm caused by paravertebral cold abscess with spinal tuberculosis.
A 35-year-old woman with back pain was diagnosed with thoracic aortic pseudoaneurysm with spinal tuberculosis, and endovascular aneurysm repair (EVAR) was performed. The patient's symptoms disappeared after EVAR, following which she was discharged.
The case highlighted that in cases where non-enhanced computed tomography (CT) revealed that the aortic vessel was surrounded by a paravertebral abscess, magnetic resonance imaging (MRI) should be performed to confirm whether the presence of a pseudoaneurysm. Upon diagnosis of pseudoaneurysm, surgery should be performed immediately. In recent times, EVAR has emerged as a promising alternative to open surgery.
与脊柱结核相关的胸主动脉假性动脉瘤是一种罕见但致命的疾病。假性动脉瘤破裂的风险极高，这种疾病需要更多的关注。本研究报告了一例由脊柱结核椎旁寒性脓肿引起的胸主动脉假性动脉瘤病例。
一名35岁背痛女性被诊断为胸主动脉假性动脉瘤合并脊柱结核，并接受了血管腔内动脉瘤修复术（EVAR）。EVAR术后患者症状消失，随后出院。
该病例强调，在非增强计算机断层扫描（CT）显示主动脉血管被椎旁脓肿包围的情况下，应进行磁共振成像（MRI）以确认是否存在假性动脉瘤。一旦诊断为假性动脉瘤，应立即进行手术。近年来，EVAR已成为开放手术的一种有前景的替代方法。
