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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2019; 03(01): 053-057
DOI: 10.1055/s-0038-1675861
Case Report
Indian Society of Vascular and Interventional Radiology

Multiple Synchronous Tuberculous Aneurysms

Reuban D'cruz
1   Department of Surgery, National University Hospital, Singapore
,
Dexter Y. S. Chan
1   Department of Surgery, National University Hospital, Singapore
,
Pei Ho
2   Department of Cardiac, Thoracic and Vascular Surgery, National University Health System, Singapore
3   Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
› Author Affiliations Funding None.
Further Information

Publication History

Received: 28 April 2018

Accepted after revision: 09 July 2018

Publication Date:
27 November 2018 (online)

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Abstract

The authors report a case of a 35-year-old woman with a medical history of recently diagnosed pulmonary tuberculosis presenting with chest and back discomfort. Chest radiograph demonstrated a bulky hilar mass, and computed tomography revealed multiple saccular aneurysms in the thoracic aorta, multiple fusiform aneurysms in the coronary arteries, left renal and splenic arteries, and right internal iliac pseudoaneurysms. Surgical management of the mycotic aneurysms was indicated in view of symptomatology. Thoracic endovascular aortic repair (TEVAR) and ascending aortic replacement with aortic valve suspension and coil embolization of right iliac artery pseudoaneurysm were performed. The coronary artery aneurysms were managed with surveillance.

Keywords

tuberculous - mycotic - aneurysms
 

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