Ruptured mycobacterial aneurysm of the carotid artery. Perspect Vasc Surg Endovasc Ther 2013 Dec;25(3-4):53-6
Date
12/19/2013Pubmed ID
24345739DOI
10.1177/1531003513512870Scopus ID
2-s2.0-84896320516 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
Mycotic aneurysms resulting from intravesical bacillus Calmette-Guérin (BCG) treatment are exceptionally rare. We report on the case of a 73-year-old man who underwent intravesical therapy of BCG for bladder carcinoma and developed a right neck mass. A carotid pseudoaneurysm within a fibrotic mass was noted on surgical exploration. Radical resection was performed followed by a polytetrafluoroethylene interposition graft. Final pathology revealed necrotizing granulomas and multinucleated giant cells concerning for tuberculoma. Intravesicular BCG immunotherapy is an accepted treatment for patients with urothelial carcinoma. Carotid aneurysms are exceptionally rare in this setting and should prompt evaluation for systemic tuberculoid dissemination.
Author List
Kuy S, Dua A, Desai SS, Baraniewski H, Lee CJMESH terms used to index this publication - Major topics in bold
Administration, IntravesicalAged
Aneurysm, False
Aneurysm, Infected
Aneurysm, Ruptured
Antineoplastic Agents
Antitubercular Agents
BCG Vaccine
Biopsy
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
Carotid Artery Diseases
Humans
Male
Polytetrafluoroethylene
Prosthesis Design
Risk Factors
Tomography, X-Ray Computed
Treatment Outcome
Tuberculoma
Tuberculosis, Cardiovascular
Urinary Bladder Neoplasms
