Endovascular Stent Graft Placement in the Treatment of Ruptured Tuberculous Pseudoaneurysm of the Descending Thoracic Aorta: Case Report and Review of the Literature

Abstract

We report a successful repair of a ruptured tuberculous pseudoaneurysm of the descending thoracic aorta by endovascular stent graft placement. This procedure is starting to be accepted as an alternative method to surgery, and we review similar cases in the literature.

Tuberculous Pseudoaneurysm of the Descending Thoracic Aorta from Tuberculous Aortitis: CT Findings and Treatment with an Endovascular Stent Graft

“…Two of the five patients with thoracic aortic psedoaneurysms had poor outcomes. The other three patients recovered without complication (2,7,9,10).…”

“…These complications are treatable, but may be fatal if not treated properly (1)(2)(3)(4)(5)(6). Conventional treatment consists of surgical repair and antituberculosis chemotherapy (1)(2)(3)(4). Endovascular repair has been proposed as an alternative to open surgery in selected patients (2,7).…”

“…Conventional treatment consists of surgical repair and antituberculosis chemotherapy (1)(2)(3)(4). Endovascular repair has been proposed as an alternative to open surgery in selected patients (2,7).…”

“…To our knowledge, there have been seven previous case reports which included endovascular treatment of tuberculous aortic psedoaneurysms, and five involving the thoracic aorta (2,6,7,9,10). Two of the five patients with thoracic aortic psedoaneurysms had poor outcomes.…”

“…However, this procedure is less invasive and is associated with improved mortality and morbidity compared to conventional open surgery, and provides a good treatment alternative for tuberculous pseudoaneurysm (2,6,7,10). This patient's miliary tuberculosis led us to avoid a surgical procedure and endovascular treatment could be a bridge treatment to curative surgical treatment during improvement of the miliary tuberculosis.…”