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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Multiple tuberculous aneurysms of the aorta.
Charles Pierret1, Jean-Pierre Tourtier, Bertrand Grand
1Department of Vascular Surgery, Military Hospital Val de Grâce, Paris, France. charlespierret@laposte.net
Journal of Vascular Surgery
|April 5, 2011
Summary
Multiple tuberculous aortic aneurysms are rare, especially in multiple locations. This case highlights diagnosis in a young female with thrombocytopenic purpura and treatment with antituberculous therapy and surgical repair.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Vascular Surgery
Background:
- Tuberculous aneurysms of the aorta are uncommon vascular complications of tuberculosis.
- Multiple aneurysms are exceptionally rare, posing unique diagnostic and therapeutic challenges.
Observation:
- A 19-year-old female presented with thrombocytopenic purpura, leading to the discovery of multiple tuberculous aortic aneurysms.
- Aneurysms were identified in both the thoracic and abdominal aorta.
Findings:
- Diagnosis was confirmed through clinical presentation and imaging.
- Treatment involved a combination of prolonged antituberculous therapy and surgical intervention.
- Surgical reconstruction utilized cryopreserved aortic allograft patches for both aneurysmal locations.
Implications:
- This case underscores the importance of considering tuberculosis in the etiology of aortic aneurysms, particularly in younger patients or those with atypical presentations.
- Multifocal tuberculous aortic aneurysms necessitate a comprehensive treatment strategy combining medical and surgical management.
- The successful use of cryopreserved aortic allografts demonstrates a viable option for complex aortic reconstructions in this rare condition.
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