Indian Journal of Medical Research

CLINICAL IMAGE
Year
: 2020  |  Volume : 152  |  Issue : 7  |  Page : 14--15

Unusual aortic rupture: What is cold can become catastrophic!


SH Chandrashekhara1, Sanjeev Kumar2,  
1 Department of Radiodiagnosis (IRCH), All India Institute of Medical Sciences, New Delhi 110 029, India
2 Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi 110 029, India

Correspondence Address:
Sanjeev Kumar
Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi 110 029
India




How to cite this article:
Chandrashekhara S H, Kumar S. Unusual aortic rupture: What is cold can become catastrophic!.Indian J Med Res 2020;152:14-15


How to cite this URL:
Chandrashekhara S H, Kumar S. Unusual aortic rupture: What is cold can become catastrophic!. Indian J Med Res [serial online] 2020 [cited 2021 Sep 27 ];152:14-15
Available from: https://www.ijmr.org.in/text.asp?2020/152/7/14/316730


Full Text

An 18 yr old male† patient with spinal tuberculosis presented to the department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India, in September 2018, with acute aortic rupture [Figure 1]A, [Figure 1]B, [Figure 1]C, [Figure 1]D. This was successfully managed with endovascular stent graft [Figure 1]E. Follow up computed tomography angiogram done after one month showed patent aortic stent graft with no leak [Figure 1]F. The patient is stable with patent aortic graft now. The patent was given anti-tuberculosis therapy (ATT) one month prior to the aortic stenting and continued for six months following the procedure. Pott's spine is one of the most common skeletal sites of extra-pulmonary tuberculosis, which can cause significant complications. The associated large para-vertebral abscess often erodes adjacent structures and rarely involves the aortic wall causing its dehiscence. The treatment of such devastating complications is controversial. Surgery, along with ATT, may be beneficial. However, it is quite challenging due to intra-operative complications and poor functional status of these patients.{Figure 1}

Conflicts of interest: None