Korean J Radiol.  2000 Dec;1(4):215-218. 10.3348/kjr.2000.1.4.215.

Tuberculous Aneurysm of the Abdominal Aorta: Endovascular Repair Using Stent Grafts in Two Cases

• Liu WC
• Kwak BK
• Kim KN
• Kim SY
• Woo JJ
• Chung DJ
• Hong JH
• Kim HS
• Lee CJ
• Shim HJ

• KMID: 1378948
• DOI: http://doi.org/10.3348/kjr.2000.1.4.215

Abstract

Tuberculous aneurysm of the aorta is exceedingly rare. To date, the standard therapy for mycotic aneurysm of the abdominal aorta has been surgery involving in-situ graft placement or extra-anatomic bypass surgery followed by effective anti-tuberculous medication. Only recently has the use of a stent graft in the treat-ment of tuberculous aortic aneurysm been described in the literature. We report two cases in which a tuberculous aneurysm of the abdominal aorta was success-fully repaired using endovascular stent grafts. One case involved is a 42-year-old woman with a large suprarenal abdominal aortic aneurysm and a right psoas abscess, and the other, a 41-year-old man in whom an abdominal aortic aneurysm ruptured during surgical drainage of a psoas abscess.

Keyword

Aorta, disease; Aorta, aneurysm; Aorta, grafts and prostheses

MeSH Terms

Adult
Aneurysm, Infected/drug therapy/radiography/*surgery
Antitubercular Agents/therapeutic use
Aortic Aneurysm, Abdominal/drug therapy/radiography/*surgery
*Blood Vessel Prosthesis Implantation
Case Report
Female
Human
Male
Psoas Abscess/surgery
*Stents
Tuberculosis, Cardiovascular/drug therapy/radiography/*surgery

Figure

• 

  Fig. 1 A 42-year-old woman with large aortic aneurysm and psoas abscess. A. Contrast-enhanced CT shows the characteristic appearance of mycotic aneurysm with thick inflammatory mantle and anterior displacement of abdominal aorta. B. Stent graft consisting of three segments of Z-stent covered with polytetrafluoroethylene, and fenestrated to secure flow along the celiac axis (arrow). C. One-year follow-up after stent graft. Abdominal CT shows successfully occluded tuberculous aneurysm and complete healing of psoas abscess.

• 

  Fig. 2 A 41-year-old man with rupture of aortic aneurysm during surgery for drainage of psoas abscess. A. Pre-operative enhanced CT shows psoas abscess with a small aneurysm of the aorta (arrow). B. Three months after stent graft deployment, the myocotic aneurysm was occluded and the psoas abscess had completely healed.

Reference

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