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Eur J Cardiothorac Surg 2007;31:941-943. doi:10.1016/j.ejcts.2007.01.032
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case reports

Descending thoracic aortic aneurysm complicated with severe vertebral erosion

Yosuke Takahashi*, Yasuyuki Sasaki, Toshihiko Shibata, Shigefumi Suehiro

Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan

Received 8 November 2006; received in revised form 9 January 2007; accepted 15 January 2007.

* Corresponding author. Tel.: +81 6 6645 3980; fax: +81 6 6646 3071. (Email: ysk{at}msic.med.osaka-cu.ac.jp).

We describe a case of successful surgical treatment for mycotic thoracic aortic aneurysm with vertebral erosion. A 70-year-old man presented with a 2 month history of back pain. Chest roentgenography and enhanced computed tomography showed a descending thoracic aortic aneurysm with destruction of T8–T10 vertebrae. We suspected that the formation of pseudoaneurysms was due to direct extension of tuberculous vertebral osteomyelitis. He was managed with a combination of surgery and antituberculous chemotherapy. No causative pathogen was identified from specimens obtained perioperatively. The postoperative course was uneventful and he remained well 2 years later.

Key Words: Thoracic aortic aneurysm • Tuberculosis • Vertebral erosion






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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.