Azuma Shuhei, Fukuhara Shinji, Yasuyoshi Yoshii
Department of Cardiovascular Surgery, Kyoto Katsura Hospital, Kyoto, Japan.
J Vasc Surg Cases Innov Tech. 2022 Aug 6;8(3):549-552. doi: 10.1016/j.jvscit.2022.07.011. eCollection 2022 Sep.
This case report describes the presentation of a 79-year-old woman with no significant past medical history diagnosed with a saccular aneurysm with an aortoduodenal fistula. An emergency endovascular aneurysm repair was performed. Although the postoperative course was uneventful, 10 months after endovascular aneurysm repair, the patient died of miliary tuberculosis from mycotic aneurysms. Mycotic aneurysms are uncommon, and mycotic aneurysms caused by are even rarer. Therefore, we believe our study makes a significant contribution to the literature given the rarity of the condition and suggests the importance of maintaining a high index of suspicion for tuberculosis as a possible cause of aortoduodenal fistula in primary mycotic aneurysm.
本病例报告描述了一名79岁无重大既往病史的女性，被诊断为伴有主动脉十二指肠瘘的囊状动脉瘤。进行了紧急血管内动脉瘤修复术。尽管术后过程顺利，但在血管内动脉瘤修复术后10个月，患者死于霉菌性动脉瘤引起的粟粒性肺结核。霉菌性动脉瘤并不常见，由[此处原文缺失具体病因]引起的霉菌性动脉瘤更为罕见。因此，鉴于该病的罕见性，我们认为我们的研究对文献做出了重大贡献，并提示对于原发性霉菌性动脉瘤中作为主动脉十二指肠瘘可能病因的结核病保持高度怀疑指数的重要性。
