IMAGES IN CARDIO-THORACIC SURGERY

European Journal of Cardio-Thoracic Surgery 48 (2015) 336 doi:10.1093/ejcts/ezu431 Advance Access publication 10 November 2014

Cite this article as: Gualis J, Castaño M, Gómez-Plana J, Fernández-Vazquez F. Endovascular treatment of a tuberculous aneurysm of the descending thoracic aorta in a young patient. Eur J Cardiothorac Surg 2015;48:336.

Endovascular treatment of a tuberculous aneurysm of the descending thoracic aorta in a young patient Javier Gualisa,*, Mario Castañoa, Jesús Gómez-Planaa and Felipe Fernández-Vazquezb a b

Deparment of Cardiac Surgery, Complejo Asistencial Universitario de León, León, Spain Department of Interventional Cardiology, Complejo Asistencial Universitario de León, León, Spain

* Corresponding author. Department of Cardiac Surgery, Hospital Universitario de León, Altos de Nava s/n. 24080, León, Spain. Tel: +34-987-234900; fax: +34-987-243924; e-mail: [email protected] ( J. Gualis). Received 28 August 2014; received in revised form 24 September 2014; accepted 29 September 2014

Keywords: Aorta • Endovascular • Infection A 28-year old male patient was diagnosed with a mycotic aortic tuberculous aneurysm (Fig. 1A) and a thoracic endoprosthesis was implanted. An additional 6-month course of tuberculostatic

drugs was completed. After 24 months of follow-up, the patient remains asymptomatic with no evidence of infection recurrence (Fig. 1B).

Figure 1: (A) A mycotic tuberculous aneurysm of the descending thoracic aorta as a complication of a paravertebral T10–T12 spinal tuberculous abscess confirmed by histological and microbiological tests. (B) No radiological evidence of infection recurrence and aneurysm regression after 24 months of follow-up.

© The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Endovascular treatment of a tuberculous aneurysm of the descending thoracic aorta in a young patient.

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