Thoracic Endovascular Aortic Repair for Tuberculous Mycotic Aneurysm in the Descending Aorta

Abstract

Tuberculous aortic aneurysm is a rare and potentially fatal condition. A 54-year-old woman who had no medical history was diagnosed as having miliary tuberculosis and received antituberculosis medications in another hospital. Computed tomography revealed a thoracic aortic aneurysm, which rapidly enlarged within 2 months despite improvement of lung lesions. She was referred to our hospital to undergo surgical intervention. As the tuberculous infection was controlled with medications, thoracic endovascular aortic repair was performed. The postoperative course was uneventful, and follow-up computed tomography revealed a significant shrinkage of the aneurysm. The endovascular approach in combination with antituberculosis medications could be a useful treatment option for tuberculous aortic aneurysms.