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Ann Thorac Surg 2003;75:1965-1967
© 2003 The Society of Thoracic Surgeons

Case report

Rupture of ascending aorta secondary to tuberculous aortitis

Jong Bum Choi, MDa*, Hyun Woong Yang, MDa, Seok Kyu Oh, MDa, Ki Jung Yun, MDa

a Departments of Thoracic and Cardiovascular Surgery, Cardiology, and Pathology, Wonkwang University Hospital, Iksan, South Korea

Accepted for publication November 25, 2002.

* Address reprint requests to Dr Choi, Department of Thoracic and Cardiovascular Surgery, Wonkwang University School of Medicine, 344-2 Sinyong-dong, Iksan, Jeonbuk 570-711, South Korea
e-mail: jobchoi{at}wonkwang.ac.kr

Tuberculous aortitis generally develops at the distal aortic arch and the descending aorta that are close to specific groups of mediastinal lymph nodes, but exceptionally it develops in the ascending aorta. We report a case of rupture of the ascending aorta after tuberculous aortitis in a 53-year-old man without a history of tuberculosis or evidence of a primary foci who underwent cardiopulmonary resuscitation due to severe hemoptysis with subsequent cardiac arrest. The tuberculous aortitis associated with rupture of the ascending aorta was treated with surgical resection and in situ graft placement.




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