Tuberculous aneurysms of the abdominal aorta

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Presentation transcript:

Tuberculous aneurysms of the abdominal aorta Ludovic Canaud, MD, Jean Marzelle, MD, Laurence Bassinet, MD, Anne-Sophie Carrié, MD, Pascal Desgranges, MD, Jean-Pierre Becquemin, MD Journal of Vascular Surgery Volume 48, Issue 4, Pages 1012-1016 (October 2008) DOI: 10.1016/j.jvs.2008.05.012 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 Tuberculous aneurysm of the suprarenal aorta in a 34-year-old woman. Top views, A preoperative angiogram shows involvement of visceral arteries in the aneurysmal process. Bottom views, A postoperative angiogram shows replacement of the diseased aorta by an 18-mm polyester graft and reimplantation of the celiac axis, superior mesenteric artery, and renal arteries. Journal of Vascular Surgery 2008 48, 1012-1016DOI: (10.1016/j.jvs.2008.05.012) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 Infrarenal aortic tuberculous false aneurysm in a 77-year-old man. Top views, A computed tomography (CT) scan shows (left) abscess of the right psoas muscle and (right) rupture of the posterior wall of a heavily calcified aorta. Middle views, Preoperative angiogram. Bottom views, A CT scan at the 5-year follow-up shows (left) healing of the psoas muscle and the body and (right) limbs of the aortobiiliac bypass made from autologous femoral veins. Journal of Vascular Surgery 2008 48, 1012-1016DOI: (10.1016/j.jvs.2008.05.012) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 A computed tomography scan of saccular aneurysms of the distal abdominal aorta in a 37-year-old woman. Top left, A three-dimensional reconstruction evidences a bilobular aortic aneurysm. Top right, A multiplanar reconstruction shows partial wall calcification. Bottom, An axial slice shows a mild wall thickening and only one lymph node superior to 1 cm at the left side of the aortic bifurcation. Journal of Vascular Surgery 2008 48, 1012-1016DOI: (10.1016/j.jvs.2008.05.012) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions