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Tuberculous aneurysm of the aorta presenting with uncontrolled hypertension
B T Strnad1, J K McGraw, E V Heatwole
1Center for Vascular and Interventional Radiology, Department of Radiology, St. Vincent Mercy Medical Center, 2213 Cherry Street, Toledo, Ohio 43608, USA.
Abstract:
Mycotic aneurysm secondary to tuberculous infection of the aorta is a rare entity with less than 50 cases having been described in the literature. Clinical presentation is usually a consequence of the aneurysm, including pain, palpable mass, or hypovolemia secondary to leak. Definitive treatment is surgical, with nearly 30 documented successful cases. The authors present a case of tuberculous aortitis with mycotic aneurysms that presented with uncontrolled hypertension and occlusion of the right renal artery that underwent successful surgical repair.