Dissecting aortic root aneurysm and severe aortic regurgitation following pulmonary tuberculosis

Aneurysms of the aortic root and ascending aorta are often due to degenerative disease of media but tuberculosis is an important but extremely rare cause of aortic root dilatation especially in tropical countries like India where tuberculosis is endemic. Tubercular aneurysmal dilatation of aorta wit...

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Main Authors: Dheeraj Sharma, Gaurav Goyal, Anula Sisodia, Sanjeev Devgarha, Rajendra Mohan Mathur
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-04-01
Series:Egyptian Journal of Chest Disease and Tuberculosis
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S042276381300304X
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author Dheeraj Sharma
Gaurav Goyal
Anula Sisodia
Sanjeev Devgarha
Rajendra Mohan Mathur
author_facet Dheeraj Sharma
Gaurav Goyal
Anula Sisodia
Sanjeev Devgarha
Rajendra Mohan Mathur
author_sort Dheeraj Sharma
collection DOAJ
description Aneurysms of the aortic root and ascending aorta are often due to degenerative disease of media but tuberculosis is an important but extremely rare cause of aortic root dilatation especially in tropical countries like India where tuberculosis is endemic. Tubercular aneurysmal dilatation of aorta with dissection leading to aortic regurgitation is a rare but important complication of tuberculosis. With worldwide resurgence of tuberculosis due to increasing incidence of drug-resistant tuberculosis and its association with acquired immunodeficiency syndrome, the tubercular aneurysm has become a real clinical entity. Although tubercular aortitis is fairly common, tuberculous mycotic aneurysm of the aorta is rare, with involvement of the aortic root being exceedingly uncommon. Here we describe a case of 18 year old male presenting with severe breathlessness and was found to have dissecting aortic root aneurysm with aortic regurgitation with active pulmonary tuberculosis and spinal deformity in the form of kyphoscoliosis. He underwent a Bentall procedure, and excised aortic root tissue showed epithelioid cell granulomas with panarteritis.
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spelling doaj.art-58010c7a2c1f4af0bdc008020e1237792022-12-22T00:02:28ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382014-04-0163252352710.1016/j.ejcdt.2013.12.004Dissecting aortic root aneurysm and severe aortic regurgitation following pulmonary tuberculosisDheeraj SharmaGaurav GoyalAnula SisodiaSanjeev DevgarhaRajendra Mohan MathurAneurysms of the aortic root and ascending aorta are often due to degenerative disease of media but tuberculosis is an important but extremely rare cause of aortic root dilatation especially in tropical countries like India where tuberculosis is endemic. Tubercular aneurysmal dilatation of aorta with dissection leading to aortic regurgitation is a rare but important complication of tuberculosis. With worldwide resurgence of tuberculosis due to increasing incidence of drug-resistant tuberculosis and its association with acquired immunodeficiency syndrome, the tubercular aneurysm has become a real clinical entity. Although tubercular aortitis is fairly common, tuberculous mycotic aneurysm of the aorta is rare, with involvement of the aortic root being exceedingly uncommon. Here we describe a case of 18 year old male presenting with severe breathlessness and was found to have dissecting aortic root aneurysm with aortic regurgitation with active pulmonary tuberculosis and spinal deformity in the form of kyphoscoliosis. He underwent a Bentall procedure, and excised aortic root tissue showed epithelioid cell granulomas with panarteritis.http://www.sciencedirect.com/science/article/pii/S042276381300304XAneurysmAortitisTuberculosisAortic regurgitationAortic root
spellingShingle Dheeraj Sharma
Gaurav Goyal
Anula Sisodia
Sanjeev Devgarha
Rajendra Mohan Mathur
Dissecting aortic root aneurysm and severe aortic regurgitation following pulmonary tuberculosis
Egyptian Journal of Chest Disease and Tuberculosis
Aneurysm
Aortitis
Tuberculosis
Aortic regurgitation
Aortic root
title Dissecting aortic root aneurysm and severe aortic regurgitation following pulmonary tuberculosis
title_full Dissecting aortic root aneurysm and severe aortic regurgitation following pulmonary tuberculosis
title_fullStr Dissecting aortic root aneurysm and severe aortic regurgitation following pulmonary tuberculosis
title_full_unstemmed Dissecting aortic root aneurysm and severe aortic regurgitation following pulmonary tuberculosis
title_short Dissecting aortic root aneurysm and severe aortic regurgitation following pulmonary tuberculosis
title_sort dissecting aortic root aneurysm and severe aortic regurgitation following pulmonary tuberculosis
topic Aneurysm
Aortitis
Tuberculosis
Aortic regurgitation
Aortic root
url http://www.sciencedirect.com/science/article/pii/S042276381300304X
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