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Tubercular Pseudoaneurysms of Aorta and its Branches

  • Shiv Kumar Choudhary
  • Sachin Talwar
  • Balram Airan
  • Srikrishna Reddy
  • Sanjeev Sharma
Conference paper

Introduction: Mycobacterial infection is a rare but definite cause of pseudoaneurysms of aorta and its branches worldwide in association with acquired immunodeficiency syndrome and drug-resistant tuberculosis (TB).

Patients and Methods: In the last decade, we treated 28 pseudoaneurysms of the aorta and its branches in 27 patients. All had evidence of treated or active TB (History of active or treated pulmonary TB, n = 23, meningeal TB, n = 1, military TB, n = 1, treated abdominal TB, n = 1, and treated cuteneous TB, n = 1). 11 patients had radiological or laboratory evidence of TB. Almost all parts of aorta were involved, commonest being distal arch (n = 6) and suprarenal abdominal aorta (n = 6). In 3 patients, innominate artery and in one the left common carotid artery was involved. Twenty four patients underwent surgery. Histopathological examination revealed granulo-matous inflammation in six patients. Four patients had positive culture for acid-fast bacilli. All patients received anti-TB chemotherapy following surgery.

Keywords

Positive Culture Acquire Immunodeficiency Syndrome Mycobacterial Infection Laboratory Evidence Mycotic Aneurysm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer 2009

Authors and Affiliations

  • Shiv Kumar Choudhary
    • 1
  • Sachin Talwar
    • 1
  • Balram Airan
    • 1
  • Srikrishna Reddy
    • 1
  • Sanjeev Sharma
    • 1
  1. 1.Cardiothoracic and Vascular SurgeryAll India Institute of Medical SciencesNew DelhiRepublic of India

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