Bacillus Calmette-Guérin related mycotic pseudoaneurysm in the aortic arch: clinical and surgical challenges

Key Points

• This research investigates the rare occurrence of mycotic aneurysms linked to BCG therapy and the associated surgical challenges.
• Treatment involved aortic arch and descending aorta replacement and antimicrobials.
• Computed tomography utilized for diagnosis and evaluation of the pseudoaneurysm.
• Histopathological analysis confirmed the presence of Mycobacterium bovis infection.
• The patient experienced complications resulting in death from stroke and organ failure one month after surgery.
• Histopathology confirmed Mycobacterium bovis infection as the causative agent of the mycotic aneurysm.
• Early recognition and multidisciplinary management are emphasized as critical in handling such cases.

Abstract