Evidence map›Paper›PMID 41782307›Full record

ArticleVascular specialist international2026

Complex Management of an Infectious Aortic Pseudoaneurysm Secondary to Disseminated Tuberculosis in a Patient with Systemic Lupus Erythematosus and End-Stage Renal Disease: A Case Report.

Johana M Pardo-Olivares, Luis H Arzola-Flores, Javier E Anaya-Ayala, Berenice Gonzalez-Eliceche, Ana Gilabert-Garcia, José A Rodriguez-Simón, Felipe J Rodriguez-Hernandez, Carlos A Hinojosa

Abstract readCase Reports
In one paragraph

Article in Vascular specialist international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Johana M Pardo-OlivaresInstituto de Ciencias Biomedicas, Universidad Autónoma de Ciudad Juárez, Ciudad Juárez, Mexico.ORCID https://orcid.org/0009-0006-1688-2871
Luis H Arzola-FloresDepartment of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.ORCID https://orcid.org/0000-0001-8876-5937
Javier E Anaya-AyalaDepartment of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.ORCID https://orcid.org/0000-0003-0936-3310
Berenice Gonzalez-ElicecheDepartment of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.ORCID https://orcid.org/0009-0005-3996-2113
Ana Gilabert-GarciaDepartment of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.ORCID https://orcid.org/0009-0003-9029-8540
José A Rodriguez-SimónBenemérita Universidad Autónoma de Puebla, Puebla, Mexico.ORCID https://orcid.org/0009-0009-4659-8830
Felipe J Rodriguez-HernandezDepartment of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.ORCID https://orcid.org/0009-0000-3574-7815
Carlos A HinojosaDepartment of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.ORCID https://orcid.org/0000-0002-9664-8703

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infectious aortic pseudoaneurysm secondary to disseminated tuberculosis is rare and potentially fatal, particularly in immunocompromised patients. We report a 37-year-old female patient with systemic lupus erythematosus and end-stage renal disease on immunosuppressive therapy and hemodialysis who presented with post-dialysis fever. Computed tomography angiography (CTA) revealed a descending thoracic aortic pseudoaneurysm. During hospitalization, she developed persistent fever, abdominal pain, and lower-extremity purpura. Urgent thoracic endovascular aortic repair (TEVAR) was performed using a 24×100 mm single thoracic stent-graft. Post-TEVAR CTA demonstrated a persistent endoleak, raising concern for a distal type Ib versus type III endoleak; therefore, left thoracotomy was performed, and a type III endoleak was confirmed intraoperatively. Tuberculous aortitis was confirmed by GeneXpert (Cepheid) analysis of the aortic tissue. Renal-adjusted antitubercular therapy was administered with favorable clinical and imaging outcomes. This case highlights the importance of early recognition and multidisciplinary management of tuberculous aortitis in high-risk patients.

Indexed as

Aortic pseudoaneurysmEnd-stage renal diseaseSystemic lupus erythematosusThoracic endovascular aortic repairTuberculous aortitis

Identifiers

PMID41782307
PMCPMC12961286

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.