Tuberculous Thoracic Aneurysm Which Ruptured into the Lung

Abstract

We present a rare case of tuberculous thoracic aneurysm which ruptured into the lung. A 66-year-old woman who has been treated for lung tuberculosis and spondylocace was referred to our hospital for treatment of a descending thoracic aneurym confirmed by enhanced CT scan. On the 6th hospital day, she had massive hemoptysis and her systolic pressure dropped to 70mmHg. Emergency operation was performed under an F-F bypass. The saccular aneurysm was excised and surrounding infected tissue was debrided. UBE graft was inserted in situ and totally covered with omentum. The pathological diagnosis of the specimen was tuberculous aortic aneurysm. The postoperative course was uneventful. Good reconstruction and omental vessels around the replaced graft were revealed by postoperative angiogram. Two years later she is well. The omental covering of the replaced graft was a useful method for preventing graft infection.