Tuberculous Thoracic Aortic Pseudoaneurysm Associated With Spinal Tuberculosis: A Case Report and Literature Review

作者全名："Chen, Yurou; Sheng, Bo; Li, Jia; Lv, Furong"

作者地址："[Chen, Yurou; Sheng, Bo; Li, Jia; Lv, Furong] First Affiliated Hosp Chongqing Med Univ, Dept Radiol, Chongqing, Peoples R China"

通信作者："Lv, FR (通讯作者)，First Affiliated Hosp Chongqing Med Univ, Dept Radiol, Chongqing, Peoples R China."

来源：FRONTIERS IN MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000811514100001

JCR分区：Q1

影响因子：3.9

年份：2022

卷号：9

期号：　

开始页：　

结束页：　

文献类型：Review

关键词：spinal tuberculosis; thoracic aortic pseudoaneurysm; endovascular repair; endovascular stent-graft; case report

摘要："BackgroundThoracic aortic pseudoaneurysm associated with spinal tuberculosis is a rare but fatal condition. The risk of pseudoaneurysm rupture is extremely high and this disease needs greater awareness. The present study reported a case of thoracic aortic pseudoaneurysm caused by paravertebral cold abscess with spinal tuberculosis. Case presentationA 35-year-old woman with back pain was diagnosed with thoracic aortic pseudoaneurysm with spinal tuberculosis, and endovascular aneurysm repair (EVAR) was performed. The patient's symptoms disappeared after EVAR, following which she was discharged. ConclusionsThe case highlighted that in cases where non-enhanced computed tomography (CT) revealed that the aortic vessel was surrounded by a paravertebral abscess, magnetic resonance imaging (MRI) should be performed to confirm whether the presence of a pseudoaneurysm. Upon diagnosis of pseudoaneurysm, surgery should be performed immediately. In recent times, EVAR has emerged as a promising alternative to open surgery."

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