Aneurysm of the Subclavian Artery Associated With Contiguous Pulmonary Tuberculosis

Hara, Masauki; Bransford, Robert M.

doi:10.1016/s0022-5223(20)31578-6

Cited by 25 publications

(6 citation statements)

References 13 publications

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“…Tuberculous aortitis was first described in 1882. 1 The transmural perforation induced by direct extension of a contiguous tuberculous focus to the vessel, most commonly lymphadenitis, 6 but also the pulmonary, 7 digestives, 8 or spinal TB, is the most common cause of tuberculous aneurysms. Other theories have been proposed, such as spread via blood through the vasa vasorum 9 or an autoimmune response to the tuberculosis.…”

Section: Discussionmentioning

confidence: 99%

Mycotic tubercular abdominal aortic aneurysm: A case report

Mirza

Haseeb

Mushtaq

et al. 2022

JSTMU

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The mycotic tuberculous aneurysm of the Abdominal Aorta is an extremely rare disease. An aortic mycotic aneurysm is a life-threatening condition caused by tuberculous infection. Tuberculous aneurysms of the aorta usually present as rapidly growing or ruptured pseudoaneurysms. Most of these aneurysms are of the pseudoaneurysm type. We presented a case of a 61-year-old man who was diagnosed with a tubercular abdominal aortic mycotic aneurysm associated with the posterior invasion of the vertebral body leading to discitis. The patient underwent a mycotic aneurysm repair with grafting. Even with a combination of surgical and medical treatment, a favorable outcome could not be achieved.

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Section: Discussionmentioning

confidence: 99%

Mycotic tubercular abdominal aortic aneurysm: A case report

Mirza

Haseeb

Mushtaq

et al. 2022

JSTMU

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“…A literature search revealed only two previous reports of tuberculous aneurysms involving the subclavian artery; one of these aneurysms appeared to arise from miliary TB [ 4 ] while the other was a consequence of pulmonary TB [ 5 ]. In our patient the pseudoaneurysm arose from the erosion of a tuberculous lymph node into a branch of the subclavian artery.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Cause of a Pain in the Neck: Pseudoaneurysm from Tuberculous Lymphadenitis

Kennedy

Curran

Brady

et al. 2012

Case Reports in Medicine

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A pseudoaneurysm is a haematoma which is surrounded by connective tissue and communicates with the lumen of a ruptured blood vessel. It has no true defined capsule. We describe a case of tuberculous pseudoaneurysm. This is a rare complication of tuberculosis. The clinical presentation of these lesions is highly variable. Definitive diagnosis should consist of contrast-enhanced CT and arteriography. Treatment should include repair of the arterial wall by surgery, endovascular stent-graft insertion, or embolization followed by a full course of antituberculous chemotherapy. Our case is highly unusual in that the pseudoaneurysm arose from the subclavian vasculature in a patient with extrapulmonary tuberculosis only.

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“…18,36,59 Pulmonary complications, including a chylothorax 85 and an oesophagopleural fistula 38 occurred in 5% of patients and was often related to trauma. Paraesthesia due to a brachial cord lesion (3%) may be temporary 17,19,86 or persistent. 29,84,87 In 2% of cases, the presence or absence of complications was not mentioned.…”

Section: Conventional Surgical Repairmentioning

confidence: 99%

Changing Profiles of Diagnostic and Treatment Options in Subclavian Artery Aneurysms

Vierhout¹,

Zeebregts

Dungen

et al. 2010

European Journal of Vascular and Endovascular Surgery

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The profiles of diagnostic and treatment options of SAAs are changing. Although guidelines considering timing of intervention may not be conducted from available literature, intervention appears to be indicated, especially in distal SAAs, due to the risk of thrombo-embolic complications. Endovascular repair and hybrid procedures appear to be the preferred treatment modalities, due to a lower rate of cardiopulmonary complications.

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Aneurysm of the Subclavian Artery Associated With Contiguous Pulmonary Tuberculosis

Cited by 25 publications

References 13 publications

Mycotic tubercular abdominal aortic aneurysm: A case report

Mycotic tubercular abdominal aortic aneurysm: A case report

An Unusual Cause of a Pain in the Neck: Pseudoaneurysm from Tuberculous Lymphadenitis

Changing Profiles of Diagnostic and Treatment Options in Subclavian Artery Aneurysms

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