Journal of Chest Surgery

  • 제45권6호
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  • Pages.408-411
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  • 2012
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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Tuberculous Aortitis Complicated with Pseudoaneurysm Formation in the Descending Thoracic Aorta: A Case Report

  • Seo, Dong Ju (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Joon Bum (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2012.07.09
  • 심사 : 2012.08.24
  • 발행 : 2012.12.05
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초록

A 51-year-old male with sustained fever was diagnosed with military tuberculosis and tuberculous aortitis complicated with pseudoaneurysm formation at the proximal descending aorta. A follow-up computed tomography evaluation showed an increased size of the pseudoaneurysm in this area, suggestive of a contained rupture. Consequently, the patient underwent emergency excision and replacement of the aorta using a left heart bypass. The patient was discharged without postoperative complications on post-operative day 12. During the one-year follow-up period, the patient was free of any complications or recurrence of tuberculosis. We report a case of pseudoaneurysm of the descending aorta that was successfully surgically repaired.

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참고문헌

  1. Park SC, Moon IS, Koh YB. Tuberculous pseudoaneurysm of the descending thoracic aorta. Ann Vasc Surg 2010;24:417.e11-3. https://doi.org/10.1016/j.avsg.2009.05.019
  2. Golzarian J, Cheng J, Giron F, Bilfinger TV. Tuberculous pseudoaneurysm of the descending thoracic aorta: successful treatment by surgical excision and primary repair. Tex Heart Inst J 1999;26:232-5.
  3. Ikezawa T, Iwatsuka Y, Naiki K, Asano M, Ikeda S, Kimura A. Tuberculous pseudoaneurysm of the descending thoracic aorta: a case report and literature review of surgically treated cases. J Vasc Surg 1996;24:693-7. https://doi.org/10.1016/S0741-5214(96)70086-1
  4. Choi JB, Yang HW, Oh SK, Yun KJ. Rupture of ascending aorta secondary to tuberculous aortitis. Ann Thorac Surg 2003;75:1965-7. https://doi.org/10.1016/S0003-4975(02)05017-8
  5. Coselli JS, Bozinovski J, LeMaire SA. Open surgical repair of 2286 thoracoabdominal aortic aneurysms. Ann Thorac Surg 2007;83:S862-4. https://doi.org/10.1016/j.athoracsur.2006.10.088
  6. Coselli JS, LeMaire SA, Conklin LD, Koksoy C, Schmittling ZC. Morbidity and mortality after extent II thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 2002;73:1107-15. https://doi.org/10.1016/S0003-4975(02)03370-2

피인용 문헌

  1. A Case of an Infected Aneurysm in the Thoracic Aorta Mimicking Tuberculous Lymphadenopathy vol.89, pp.3, 2012, https://doi.org/10.3904/kjm.2015.89.3.323
  2. Miliary tuberculosis in a patient with tuberculous mycotic aneurysm of the abdominal aorta: Case report and review of the literature vol.21, pp.None, 2012, https://doi.org/10.1016/j.rmcr.2017.03.010