Journal of vascular surgery cases and innovative techniques · 2026
Physician-modified fenestrated thoracic endovascular aortic repair for a rapidly developing infectious distal aortic arch aneurysm after intravesical bacillus Calmette-Guérin therapy.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Harada Daiki, Saito Minori, Aoyagi Yutaro, Akatsu Takayuki, Miyaki Yasuko, Mori Mitsuharu, Hashizume Kenichi, Shimizu Hideyuki
Аннотация
An 84-year-old man developed hemoptysis 3 weeks after receiving intravesical bacillus Calmette-Guérin therapy for bladder cancer. Computed tomography revealed a new saccular distal aortic arch aneurysm involving the origin of the left subclavian artery, with periaortic inflammation. Computed tomography performed 3 months earlier had shown no aneurysm. Urine polymerase chain reaction testing was positive for the Mycobacterium tuberculosis complex, supporting the diagnosis of a bacillus Calmette-Guérin-related infectious aortic aneurysm. Given the prohibitive surgical risk, emergency endovascular repair was performed using a physician-modified fenestrated endograft with branch revascularization in combination with antituberculous therapy. Hemoptysis resolved, and no recurrence was observed at 1-year follow-up.