Tuberculous Mycotic Pseudoaneurysm of the Abdominal Aorta / 日本心臓血管外科学会雑誌

A 54-year-old man with a sacral abdominal aortic aneurysm (4cm) complained of lower abdominal pain. An abdominal computed tomographic (CT) scan revealed a 1cm expansion in 2 weeks. The abdominal aorta was replaced with an <i>in situ</i> expanded polytetrafluoroethylene graft. Granulomatous lymphoadenitis was diagnosed in the aneurysm wall by histological examination. The patient's postoperative course was uneventful, and anti-tuberculosis medical drug therapy was given for 6 months.