Descending thoracic aortic aneurysm complicated with severe vertebral erosion

Takahashi, Yosuke; Sasaki, Yasuyuki; Shibata, Toshihiko; Suehiro, Shigefumi
May 2007
European Journal of Cardio-Thoracic Surgery;May2007, Vol. 31 Issue 5, p942
Academic Journal
Abstract: We describe a case of successful surgical treatment for mycotic thoracic aortic aneurysm with vertebral erosion. A 70-year-old man presented with a 2 month history of back pain. Chest roentgenography and enhanced computed tomography showed a descending thoracic aortic aneurysm with destruction of T8–T10 vertebrae. We suspected that the formation of pseudoaneurysms was due to direct extension of tuberculous vertebral osteomyelitis. He was managed with a combination of surgery and antituberculous chemotherapy. No causative pathogen was identified from specimens obtained perioperatively. The postoperative course was uneventful and he remained well 2 years later.


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