Tuberculous pseudoaneurysm of the ascending aorta

Abstract

Increase in the incidence of drug resistance and association with HIV has led to a resurgence of tuberculosis. However, tubercular arteritis continues to remain a rare entity with a prelidection for the thoracic aorta. We report a tubercular ascending aortic pseudoaneurysm in a patient already on treatment for disseminated tuberculosis who underwent successful surgical repair and also review literature pertaining to this entity.

3D model‐guided transcatheter closure of ascending aorta pseudoaneurysm with the novel Amplatzer Trevisio intravascular delivery system

“…AAP is a rare but potentially life-threatening complication of atherosclerosis, infections, blunt chest trauma, trans-catheter procedures or, more frequently, surgical interventions. [1][2][3][4][5][6] Albeit inherent aortic weakness in congenital bicuspid valve dysplasia could be a predisposing factor, 21 the vast majority of cases is caused by loosening of aortic purse-string at the canulation site. AAP may remain clinically silent for a long time until compression of the surrounding structures or mass rupture, with resulting life-threatening hemodynamic collapse, ensues.…”

“…Ascending aorta pseudoaneurysm (AAP) is an infrequent complication of atherosclerosis, infections, chest trauma, trans-catheter procedures or, more often, cardio-thoracic surgery. [1][2][3][4][5][6] Potential for rupture or compression of the surrounding structures by the expanding mass mandates emergent repair. 7 Since surgical approach carries high morbidity and mortality, 8,9 transcatheter option is nowadays emerging as a cost-effective alternative therapeutic option.…”