Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Tuberculous Pseudoaneurysm of the Descending Thoracic Aorta from Tuberculous Aortitis: CT Findings and Treatment with an Endovascular Stent Graft

결핵성 대동맥염에서 발생한 하행흉부대동맥의 결핵성 가성동맥류: 전산화단층촬영술 소견과 혈관내 스텐트 그래프트를 이용한 치료

  • Yoon, Ji-Young (Department of Radiology, Hallym University College of Medicine) ;
  • Lee, In-Jae (Department of Radiology, Hallym University College of Medicine) ;
  • Jeon, Eui-Yong (Department of Radiology, Hallym University College of Medicine) ;
  • Kim, Min-Jeong (Department of Radiology, Hallym University College of Medicine) ;
  • Lee, Kwan-Seop (Department of Radiology, Hallym University College of Medicine) ;
  • Lee, Yul (Department of Radiology, Hallym University College of Medicine)
  • 윤지영 (한림대학교 의과대학 영상의학과학교실) ;
  • 이인재 (한림대학교 의과대학 영상의학과학교실) ;
  • 전의용 (한림대학교 의과대학 영상의학과학교실) ;
  • 김민정 (한림대학교 의과대학 영상의학과학교실) ;
  • 이관섭 (한림대학교 의과대학 영상의학과학교실) ;
  • 이열 (한림대학교 의과대학 영상의학과학교실)
  • Published : 2011.12.01
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Abstract

Tuberculous pseudoaneurysms of the aorta are rare entities that have been reported as fatal complications requiring early diagnosis and treatment. Here, we describe a case of a tuberculous pseudoaneurysm of the descending thoracic aorta in a patient with miliary tuberculosis. The computed tomography findings of a tuberculous pseudoaneurysm and outcomes of treatment with endovascular stent graft are described. Tuberculous pseudoaneurysms of the descending thoracic aorta were treated with endovascular stent graft. However, perigraft recurrence of tuberculosis after cessation of antituberculous drugs led to surgical treatment.

대동맥에 발생한 결핵성 가성동맥류는 드문 질환으로 빠른 진단과 치료가 필요한 치명적인 합병증으로 보고된 바 있다. 저자들은 속립성 결핵을 앓고 있는 환자에서 발생한 하행흉부대동맥의 결핵성 가성동맥류 1예를 경험하였기에 이를 보고하고자 한다. 전산화단층촬영술 소견과 혈관내 스텐트 그래프트를 이용한 치료 결과에 대해서 기술하였다. 환자는 항결핵제를 중단한 후 그래프트 주변에서 결핵이 재발하여 수술적 치료를 받았다.

Keywords

References

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