Physician-modified fenestrated thoracic endovascular aortic repair for a rapidly developing infectious distal aortic arch aneurysm after intravesical bacillus Calmette-Guérin therapy.
- 1Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Tochigi, Japan.
- 2Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Abstract
An 84-year-old man developed hemoptysis 3 weeks after receiving intravesical bacillus Calmette-Guérin therapy for bladder cancer. Computed tomography revealed a new saccular distal aortic arch aneurysm involving the origin of the left subclavian artery, with periaortic inflammation. Computed tomography performed 3 months earlier had shown no aneurysm. Urine polymerase chain reaction testing was positive for the Mycobacterium tuberculosis complex, supporting the diagnosis of a bacillus Calmette-Guérin-related infectious aortic aneurysm. Given the prohibitive surgical risk, emergency endovascular repair was performed using a physician-modified fenestrated endograft with branch revascularization in combination with antituberculous therapy. Hemoptysis resolved, and no recurrence was observed at 1-year follow-up.
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BibTeX
@article{harada2026physicianmodified,
title = {{Physician-modified fenestrated thoracic endovascular aortic repair for a rapidly developing infectious distal aortic arch aneurysm after intravesical bacillus Calmette-Guérin therapy.}},
author = {Daiki Harada and Minori Saito and Yutaro Aoyagi and Takayuki Akatsu and Yasuko Miyaki and Mitsuharu Mori and Kenichi Hashizume and Hideyuki Shimizu},
journal = {Journal of vascular surgery cases and innovative techniques},
year = {2026},
month = sep,
doi = {10.1016/j.jvscit.2026.102525},
url = {https://europepmc.org/article/MED/42910288},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Physician-modified fenestrated thoracic endovascular aortic repair for a rapidly developing infectious distal aortic arch aneurysm after intravesical bacillus Calmette-Guérin therapy.
AU - Daiki Harada
AU - Minori Saito
AU - Yutaro Aoyagi
AU - Takayuki Akatsu
AU - Yasuko Miyaki
AU - Mitsuharu Mori
AU - Kenichi Hashizume
AU - Hideyuki Shimizu
PY - 2026
DA - 2026/09/19
JO - Journal of vascular surgery cases and innovative techniques
DO - 10.1016/j.jvscit.2026.102525
UR - https://europepmc.org/article/MED/42910288
AB - An 84-year-old man developed hemoptysis 3 weeks after receiving intravesical bacillus Calmette-Guérin therapy for bladder cancer. Computed tomography revealed a new saccular distal aortic arch aneurysm involving the origin of the left subclavian artery, with periaortic inflammation. Computed tomography performed 3 months earlier had shown no aneurysm. Urine polymerase chain reaction testing was positive for the Mycobacterium tuberculosis complex, supporting the diagnosis of a bacillus Calmette-Guérin-related infectious aortic aneurysm. Given the prohibitive surgical risk, emergency endovascular repair was performed using a physician-modified fenestrated endograft with branch revascularization in combination with antituberculous therapy. Hemoptysis resolved, and no recurrence was observed at 1-year follow-up.
SN - 2468-4287
ER -