Bojar R M, Turner M T, Valdez S, Haskal R, McGowan K, Khabbaz K R
Division of Cardiothoracic Surgery, New England Medical Center and the Tufts University School of Medicine, Boston, MA 02111, USA.
Chest. 1998 Dec;114(6):1774-6. doi: 10.1378/chest.114.6.1774.
A 34-year-old HIV-positive black man with pulmonary tuberculosis developed progressive widening of the mediastinum. Evaluation by CT and two-dimensional echocardiography demonstrated a large saccular aneurysm of the ascending aorta. This was repaired with a 26-mm aortic homograft using deep hypothermic circulatory arrest. The microbiology of the aneurysm contents showed this to be a tuberculous pseudoaneurysm.