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Logo of thijTexas Heart Institute JournalSee also Cardiovascular Diseases Journal in PMCSubscribeSubmissionsTHI Journal Website
Tex Heart Inst J. 1992; 19(2): 142–145.
PMCID: PMC326271

Successful Resection of a Tuberculous Pseudoaneurysm of the Descending Thoracic Aorta

Case Report and Review of the Literature


An aneurysm of the descending thoracic aorta was found in a 55-year-old woman. She had hemoptysis, fever, and weight loss beginning 1 month before hospitalization. A miliary tuberculosis developed after angiography. The patient underwent surgical resection of the aneurysm, which proved to be tuberculous. The aortic wall was reconstructed with a Dacron patch. Antituberculosis pharmacotherapy, started before operation, was discontinued after 16 months of administration. The patient is doing well 19 months after operation. The English literature reports only 7 other cases of surgical treatment of tuberculous aneurysm of the thoracic aorta. According to previous reports, early surgical intervention, combined with preoperative and prolonged postoperative antituberculosis therapy and close postoperative follow-up, is mandatory in this group of patients. (Texas Heart Institute Journal 1992;19:142-5)

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Selected References

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  • DE PROPHETIS N, ARMITAGE HV, TRIBOLETTI ED. Rupture of tuberculous aortic aneurysm into lung. Ann Surg. 1959 Dec;150:1046–1051. [PubMed]
  • KLINE JL, DURANT J. Surgical resection of a tuberculous aneurysm of the ascending aorta. Report of a case. N Engl J Med. 1961 Dec 14;265:1185–1187. [PubMed]
  • Felson B, Akers PV, Hall GS, Schreiber JT, Greene RE, Pedrosa CS. Mycotic tuberculous aneurysm of the thoracic aorta. JAMA. 1977 Mar 14;237(11):1104–1108. [PubMed]
  • Quaini E, Donatelli F, Bonacina E, Vitali E, Colombo T, Panzeri E. Mycotic tuberculous aneurysm of the descending thoracic aorta. Tex Heart Inst J. 1985 Sep;12(3):257–260. [PMC free article] [PubMed]
  • Sandron D, Patra P, Lelann P, Bouillard J, Pioche D. Tuberculous pseudo-aneurysm of the descending thoracic aorta. Eur Respir J. 1988 Jun;1(6):565–567. [PubMed]
  • Estrera AS, Platt MR, Mills LJ, Nikaidoh H. Tuberculous aneurysms of the descending thoracic aorta: report of a case with fatal rupture. Chest. 1979 Mar;75(3):386–388. [PubMed]
  • VOLINI FI, OLFIELD RC, Jr, THOMPSON JR, KENT G. Tuberculosis of the aorta. JAMA. 1962 Jul 14;181:78–83. [PubMed]
  • STIEFEL JW. Rupture of a tuberculous aneurysm of the aorta; review of the literature and report of a case. AMA Arch Pathol. 1958 May;65(5):506–512. [PubMed]
  • Duncan JM, Cooley DA. Surgical considerations in aortitis. Part II: Mycotic aneurysms. Tex Heart Inst J. 1983 Dec;10(4):329–335. [PMC free article] [PubMed]
  • Ilgenfritz FM, Jordan FT. Microbiological monitoring of aortic aneurysm wall and contents during aneurysmectomy. Arch Surg. 1988 Apr;123(4):506–508. [PubMed]

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