Inflammatory brachial artery aneurysm with amyloidosis due to nontuberculous mycobacterial infection: a case report

IF 0.7 Q4 SURGERY Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-01 Epub Date: 2025-01-18 DOI:10.1016/j.jvscit.2025.101742
Atsushi Guntani PhD, MD , Morishige Takeshita PhD , Chikao Yasunaga PhD , Ken Nakayama PhD , Shinsuke Mii PhD , Kimihiro Komori PhD
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Abstract

The patient was a 72-year-old man with a history of kidney transplantation and long-term administration of methylprednisolone and immunosuppressants who underwent resection and reconstruction of a brachial artery aneurysm. A pathological examination confirmed mycobacteria, indicating an inflammatory aneurysm with amyloid kappa light chain deposition caused by intracellular nontuberculous mycobacterium. To our knowledge, this is the first demonstration of an inflammatory brachial artery aneurysm with amyloidosis caused by nontuberculous mycobacterial infection. When a nontuberculous mycobacterial infection is diagnosed, it is important to take into account the potential development of aneurysms at locations outside of the lungs.
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非结核性分枝杆菌感染引起的炎症性臂动脉瘤伴淀粉样变1例
患者是一名72岁的男性,有肾移植史,长期服用甲基强的松龙和免疫抑制剂,接受了臂动脉瘤切除术和重建术。病理检查证实为分枝杆菌,提示由细胞内非结核分枝杆菌引起的带有淀粉样卡帕轻链沉积的炎性动脉瘤。据我们所知,这是第一例由非结核性分枝杆菌感染引起的带有淀粉样变的炎症性臂动脉瘤。当诊断出非结核性分枝杆菌感染时,重要的是要考虑到肺外部位动脉瘤的潜在发展。
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来源期刊
CiteScore
1.00
自引率
14.30%
发文量
219
审稿时长
29 weeks
期刊介绍: Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.
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