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Homograft Repair of a Tuberculous Pseudoaneurysm of the Ascending Aorta

Robert M. Bojar; Marie T. Turner; Steven Valdez; Ruth Haskal; Katherine McGowan; Kamal R. Khabbaz
Author and Funding Information

From the Division of Cardiothoracic Surgery, New England Medical Center and the Tufts University School of Medicine, Boston, MA, and the Tuberculosis Treatment Unit, Lemuel Shattuck Hospital, Jamaica Plain, MA.

Robert M. Bojar, MD, FCCP, New England Medical Center, Box 266, Boston, MA 02111; e-mail: robert.bojar@es.nemc.org


1998 by the American College of Chest Physicians


Chest. 1998;114(6):1774-1776. doi:10.1378/chest.114.6.1774
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Abstract

A 34-year-old HIV-positive black man with pulmonary tuberculosis developed progressive widening of the mediastinum. Evaluation by CT and two-dimensional echocardiography demonstrated a large saccular aneurysm of the ascending aorta. This was repaired with a 26-mm aortic homograft using deep hypothermic circulatory arrest. The microbiology of the aneurysm contents showed this to be a tuberculous pseudoaneurysm.


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