• J. Vasc. Surg. · Oct 2007

    Case Reports

    Endovascular treatment of a tuberculous infected aneurysm of the descending thoracic aorta: a word of caution.

    • Louis Labrousse, Michel Montaudon, Alexandre Le Guyader, Emmanuel Choukroun, François Laurent, and Claude Deville.
    • Department of Cardio-Vascular Surgery, Bordeaux Heart University Hospital, Bordeaux-Pessac, France. louis.labrousse@chu-bordeaux.fr
    • J. Vasc. Surg. 2007 Oct 1;46(4):786-8.

    AbstractAn infected aneurysm of the thoracic aorta due to mycobacterium tuberculosis is an unusual entity for which the classical treatment is antituberculosis chemotherapy and open-chest surgery. Recent improvements in endovascular treatments have led to their proposed use for infected aneurysms in patients for whom open surgery poses too high a risk. We report on a 68-year-old man with a tuberculous aortic aneurysm who had been treated with an endoprosthesis and antituberculosis chemotherapy. His clinical and radiological follow-up was uneventful and led to the discontinuation of pharmacological treatment after 16 months. However, a recurrence of the infection led to a fatal aortic rupture 4 months after discontinuation of therapy.

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