scholarly journals Tubercular Mycotic Aortic Aneurysm: Complication of Tubercular Spondylodiscitis due to Treatment Default

2021 ◽  
Author(s):  
Neeraj Kumar ◽  
Mini Sharma ◽  
Nishant Nayyar ◽  
Lokesh Rana ◽  
Dinesh Sood
Keyword(s):  
Chest Pain ◽  
Aortic Aneurysm ◽  
Thoracic Aorta ◽  
Rare Case ◽  
Spinal Tuberculosis ◽  
Descending Thoracic Aorta ◽  
Treatment Default ◽  
Antitubercular Treatment ◽  
Contiguous Spread ◽  
Mycotic Aortic Aneurysm

AbstractWe have reported rare case of tubercular aortic aneurysm which has developed as complication of spinal tuberculosis. Imaging of patient is available prior to starting of antitubercular treatment which showed vertebral tuberculosis with absence of aortic aneurysm. However, patient defaulted on treatment after taking antitubercular chemotherapy only for 2 months. Patient again reported after 14 months with chest pain. At this stage, imaging showed progression of spinal tuberculosis with development of pseudoaneurysm in adjacent descending thoracic aorta. This contiguous spread of tuberculosis from spine to aorta may have been prevented if patient had completed complete course of antitubercular therapy with regular follow-ups. Patient of spinal tuberculosis need to be counselled and informed regarding its various complications, so that they remain adhered to antitubercular chemotherapy and timely follow-ups to prevent complications.

scholarly journals A New Methodology to Determine Apposition, Dilatation, and Position of Endografts in the Descending Thoracic Aorta After Thoracic Endovascular Aortic Repair

2019 ◽  
Vol 26 (5) ◽  
pp. 679-687 ◽  
Author(s):  
Kim van Noort ◽  
Richte C. L. Schuurmann ◽  
Gersom Post Hospers ◽  
Emma van der Weijde ◽  
Hans G. Smeenk ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Thoracic Aorta ◽  
Thoracic Aortic Aneurysm ◽  
Interobserver Agreement ◽  
Interobserver Variability ◽  
Thoracic Endovascular Aortic Repair ◽  
Descending Thoracic Aorta ◽  
Applied Software ◽  
Shortest Distance ◽  
The Mean

Purpose: To validate computed tomography angiography (CTA)–applied software to assess apposition, dilatation, and position of endografts in the proximal and distal landing zones after thoracic endovascular aortic repair (TEVAR) of thoracic aortic aneurysm. Materials and Methods: Twenty-two patients (median age 75.5 years; 11 men) with a degenerative descending thoracic aortic aneurysm treated with TEVAR with at least one postoperative CTA were selected from a single center’s database. New CTA-applied software was used to determine the available apposition surface in the proximal and distal landing zones, apposition of the endograft fabric with the aortic wall, shortest apposition length, endograft inflow and outflow diameters, shortest distance between the left subclavian artery and the proximal endograft fabric, and shortest distance between the celiac trunk and the distal endograft fabric on each CTA. Interobserver variability for these parameters was assessed with the repeatability coefficient and the intraclass correlation coefficient. Results: Excellent interobserver agreement was found for all measurements. Interobserver variability of surface and shortest apposition length calculations was larger for the distal site compared with the proximal site, with a mean difference of 10% vs 2% of the mean available apposition surface, 12% vs 5% of the endograft apposition surface, and 16% vs 8% of the shortest apposition length, respectively. Inflow and outflow diameters of the endograft showed low variability, with a mean difference of 0.1 mm with 95% of the interobserver difference within 1.8 mm. Mean interobserver differences of the proximal and distal shortest fabric distances were 1.0 and 0.9 mm (both 2% of the mean lengths). Conclusion: Assessment of apposition, dilatation, and position of the proximal and distal parts of an endograft in the descending thoracic aorta is feasible after TEVAR with the new software. Interobserver agreement for all measured parameters was excellent for the proximal and distal landing zones. The new method allows detection of subtle changes during follow-up. However, a larger study is needed to quantify how parameters change over time in complicated and uncomplicated TEVAR cases and to define the real added value of the new methodology.

SUCCESFULL SURGICAL REPAIR OF AN ACCUTE TYPE A DISSECTING AORTIC ANEURYSM ASSOCIATED WITH A RIGHT-SIDED-AORTIC ARCH AND RIGHT SIDED DESCENDING THORACIC AORTA

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 416S ◽  
Author(s):  
Konstantinos E. Paziouros ◽  
Stavros Siminelakis ◽  
Sokrates Sismanidis ◽  
Leonidas Disnitsas ◽  
Miltiadis Matsagas ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Aortic Arch ◽  
Thoracic Aorta ◽  
Surgical Repair ◽  
Type A ◽  
Descending Thoracic Aorta ◽  
Dissecting Aortic Aneurysm

An Inflammatory Abdominal Aortic Aneurysm Presenting with Acute Dissection of the Descending Thoracic Aorta

1994 ◽  
Vol 28 (7) ◽  
pp. 495-500
Author(s):  
Takuya Ono ◽  
Takao Endo ◽  
Hirokazu Saitoh ◽  
Yoshifumi Tomita ◽  
Hirokazu Hayakawa ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Thoracic Aorta ◽  
Descending Thoracic Aorta ◽  
Abdominal Aortic ◽  
Acute Dissection ◽  
Inflammatory Abdominal Aortic Aneurysm

Saccular mycotic aneurysm of descending thoracic aorta secondary to vertebral hydatid disease: A rare case

Vascular ◽  
2021 ◽  
pp. 170853812199437
Author(s):  
Mohammad Mozafar ◽  
Hamidreza Haghighatkhah ◽  
Reza Jalili Khoshnoud ◽  
Sina Zarrintan ◽  
Nasser Rakhshani ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Thoracic Aorta ◽  
Hydatid Disease ◽  
Fine Needle Aspiration ◽  
Rare Case ◽  
Cystic Lesion ◽  
Mycotic Aneurysm ◽  
Needle Aspiration ◽  
Descending Thoracic Aorta ◽  
Fine Needle

Background/Objective Hydatid disease of the aorta is very rare. Hydatid disease can result in saccular aneurysm of the thoracic and abdominal aorta. Case report We report a rare case of saccular aneurysm of the distal descending thoracic aorta. The diameter of the aneurysm was 60 mm. It was managed by Thoracic Endovascular Aneurysm Repair. After 41 months, computed tomography angiography revealed a multi-loculated cystic lesion with 86 × 83×80 mm dimensions in the prevertebral area at the T10-T11 level with bony destruction and erosion of the anterior margin of the vertebral bodies. A computed tomography-guided fine-needle aspiration of the paravertebral cystic lesion was performed. Microscopic study of the fine-needle aspiration specimen demonstrated Echinococcosis granulosus diagnostic of hydatid disease. Conclusion It is concluded that the case was a mycotic aneurysm of the thoracic aorta secondary to vertebral hydatid disease.

scholarly journals Endovascular treatment of the rupture of thoracic aortic aneurysm, manifested by a neurological «mask»

2021 ◽  
Vol 179 (6) ◽  
pp. 66-71
Author(s):  
A. N. Ryazanov ◽  
V. V. Soroka ◽  
S. P. Nokhrin ◽  
D. V. Kandyba ◽  
S. A. Platonov ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Thoracic Aorta ◽  
Pleural Cavity ◽  
Descending Thoracic Aorta ◽  
Suspected Pulmonary Embolism ◽  
Spiral Computed ◽  
Satisfactory Condition ◽  
Endovascular Methods ◽  
The Right

The article describes a case of successful treatment of the rupture of aortic aneurysm by the endovascular method. Patient P., 71 years old, was hospitalized in a multidisciplinary hospital with a diagnosis of acute cerebral circulation disorder. The patient was examined in the intensive care unit. Signs of neurological symptoms regressed. Spiral computed tomography of the chest organs was performed with suspected pulmonary embolism, the results of which revealed an aneurysm of the descending thoracic aorta, complicated by a rupture with the formation of a right-sided hemothorax. The patient underwent endoprosthesis of the thoracic aorta with stent graft. After 2 days, thoracoscopic sanitation, drainage of the right pleural cavity was performed. The postoperative period proceeded without peculiarities. The patient was discharged on the 12th day in satisfactory condition. At control examination in 1, 6, 12 months, the long-term steady positive result was noted. Endovascular methods minimize the risk of postoperative complications, contributing to a favorable outcome of the disease.

Aortic aneurysm

2018 ◽  
Author(s):  
John Chambers
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Natural History ◽  
Thoracic Aorta ◽  
Thoracic Aortic Aneurysm ◽  
Aortic Diameter ◽  
Descending Thoracic Aorta ◽  
Body Habitus ◽  
Abdominal Aortic ◽  
History Of

The epidemiology and natural history of thoracic aortic aneurysm (TAA) and abdominal aortic aneurysm (AAA) are different. The thoracic aortic diameter is dependent on age and body habitus as well as the level at which it is measured. Average diameters are 2.1 cm/m2 for the ascending thoracic aorta, and 1.6 cm/m2 for the descending thoracic aorta, giving approximate thresholds for the diagnosis of a TAA of 40 mm and 35 mm, respectively. AAAs are defined by a diameter >30 mm and are mainly infrarenal, with only 2%–5% in a suprarenal position.

Aortic vasculopathy with aneurysm: a rare cause of fetal hydrops

2000 ◽  
Vol 10 (2) ◽  
pp. 153-155 ◽  
Author(s):  
Teo Nissen ◽  
Norman H. Silverman ◽  
Philip C. Ursell
Keyword(s):  
Aortic Aneurysm ◽  
Thoracic Aorta ◽  
Cardiac Failure ◽  
Aortic Wall ◽  
Descending Thoracic Aorta ◽  
Fetal Hydrops ◽  
Tunica Media

AbstractAn hydropic fetus seen at 28-weeks gestation had a saccular aortic aneurysm in the descending thoracic aorta. Histology disclosed marked fibrointimal hyperplasia, thrombus, and attenuation of the tunica media. The remainder of the descending thoracic aorta showed fibrointimal hyperplasia. We speculate that the narrowed lumen and rigid aortic wall resulting from this vasculopathy provided an increased afterload leading to cardiac failure.

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