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Tuberculous pseudoaneurysm of the descending thoracic aorta: A case report and literature review of surgically treated cases  Teruo Ikezawa, MD, FICA,

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Presentation on theme: "Tuberculous pseudoaneurysm of the descending thoracic aorta: A case report and literature review of surgically treated cases  Teruo Ikezawa, MD, FICA,"— Presentation transcript:

1 Tuberculous pseudoaneurysm of the descending thoracic aorta: A case report and literature review of surgically treated cases  Teruo Ikezawa, MD, FICA, Yasushi Iwatsuka, MD, Kenichi Naiki, MD, Masahiko Asano, MD, Syuhei Ikeda, MD, Atsushi Kimura, MD  Journal of Vascular Surgery  Volume 24, Issue 4, Pages (October 1996) DOI: /S (96) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Chest roentogenogram from March Half-round homogeneous shadow located in left mediastinum above diaphragm (arrows) was suspicious for aortic aneurysm. Right lower lung field showed hypervascularity and pleural effusion. Journal of Vascular Surgery  , DOI: ( /S (96) ) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Chest computed tomography image. Large false aneurysm in descending thoracic aorta was identified. Aorta was compressed by aneurysm, and lumen was compromised. Journal of Vascular Surgery  , DOI: ( /S (96) ) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Operative findings. A, Large saccular aneurysm was identified in distal descending thoracic aorta through left thoracotomy. B, On opening aneurysm 20 × 10 mm hole was found along anterior wall of aorta. C, Hole was closed with Dacron patch after resection of 5 mm margins. A, Aneurysm; P, pericardium; D, diaphragm. Journal of Vascular Surgery  , DOI: ( /S (96) ) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Postoperative IV-DSA. No aneurysm was found in descending thoracic aorta, and contrast flow appeared smooth. Journal of Vascular Surgery  , DOI: ( /S (96) ) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions


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