• Interact Cardiovasc Thorac Surg · Oct 2013

    Case Reports

    Tuberculous ascending aortic pseudoaneurysm.

    • Syed Shahabuddin and Shahid Ahmed Sami.
    • Cardiothoracic Surgery, The Aga Khan University Hospital, Karachi, Pakistan.
    • Interact Cardiovasc Thorac Surg. 2013 Oct 1; 17 (4): 742-3.

    AbstractPseudoaneurysms of the ascending aorta due to infective organisms are a rare but challenging entity with a risk of high morbidity and mortality. Previous cardiac surgery is an attributing factor, but they can present without previous surgical interventions. Various micro-organisms are responsible for this pathology. Tuberculous pseudoaneurysms of the ascending aorta are extremely rare. We report a case of a 25-year old man who presented to us with shortness of breath and recurrent haemoptysis. After preoperative evaluation including clinical and radiological assessment and echocardiography, he underwent successful repair of a pseudoaneurysm of the ascending aorta by excision and replacement of the diseased aorta with a Dacron tube graft using cardiopulmonary bypass. Postoperatively, he was started on antituberculous chemotherapy based on histological findings.

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