[Tuberculosis aneurysm of descending thoracic aorta treated by covered stent graft : A case report]

Ann Cardiol Angeiol (Paris). 2023 Oct;72(4):101614. doi: 10.1016/j.ancard.2023.101614. Epub 2023 Jun 16.
[Article in French]

Abstract

Tuberculous aneurysm is a rare but lethal disease. It preferentially affects the aorta. The contamination occurs either secondarily to a tuberculosis site in contact with the aorta or by blood contamination. It presents an increased and unpredictable risk of rupture, hence the interest of urgent diagnostic and therapeutic management. His treatment was long based on surgery, but currently the endovascular approach is increasingly used. The treatment, whatever its type, will always be associated with a medical treatment for tuberculosis. We report the case of a patient with a descending thoracic aortic aneurysm considered tuberculous on the basis of epidemiological, clinical and biological arguments; who was treated by deployment of an endoprosthesis with good clinical and radiological evolution.

Keywords: Aneurysm; Aorte thoracique; Thoracic aorta; Tuberculosis; anévrisme; tuberculeuse.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aneurysm* / surgery
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / surgery
  • Aortic Aneurysm, Thoracic* / diagnostic imaging
  • Aortic Aneurysm, Thoracic* / surgery
  • Blood Vessel Prosthesis Implantation*
  • Humans
  • Stents
  • Treatment Outcome
  • Tuberculosis* / surgery