Japanese Journal of Cardiovascular Surgery
Online ISSN : 1883-4108
Print ISSN : 0285-1474
ISSN-L : 0285-1474
Case Reports
A Pseudoaneurysm of Abdominal Aorta after Intravesical bacillus Calmette-Guerin Therapy
Fuyuki AsamiHiroki YamaguchiTatsuya NakaoYu OshimaNoriyuki TokunagaHiromasa NakamuraTakaaki ItoharaTasuku KadowakiMasatoshi SunadaKyohei Ueno
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2013 Volume 42 Issue 3 Pages 197-199

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Abstract
We report a patient who underwent an operation for an infectious abdominal aortic aneurysm 10 months after intravesical bacillus Calmette-Guerin therapy. A 68-year-old man had previous gastrectomy for early gastric cancer and intravesical BCG therapy for early stage urinary bladder cancer. His follow up CT scan revealed an abdominal aorta pseudoaneurysm. We performed aneurysmectomy, omentopexy and bilateral axillo-femoral bypass. The culture of an abscess in the aneurysm identified Mycobacterium bovis. The patients improved clinically with antituberculosis agents after operation. Intravesical bacillus Calmette-Guerin therapy is effective in the treatment of early stage urinary bladder cancer. Although this treatment is generally considered safe, serious complications including vascular complications have been reported.
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© 2013 The Japanese Society for Cardiovascular Surgery
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