Aortic complications after treatment with bacillus Calmette-Guérin: a tertiary hospital experience and an update of the literature

Although extremely rare, mycotic aneurysms related to intravesical BCG instillation can develop months to years after treatment. Diagnosis requires a high index of suspicion due to nonspecific symptoms. Both prosthetic and biological grafts yielded favorable outcomes regarding early mortality and morbidity. Postoperative multidrug antitubercular therapy appears essential following surgical repair.

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Publication Details

Journal
The Journal of Cardiovascular Surgery
Published
2025-12-01
DOI
https://doi.org/10.23736/s0021-9509.25.13318-1
Primary Topic
Infectious Aortic and Vascular Conditions
Type
article
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article

Aortic complications after treatment with bacillus Calmette-Guérin: a tertiary hospital experience and an update of the literature

Valerio Tolva, Efrem Civilini, Davide Paolo Bernasconi, Luca Bertoglio et al.
The Journal of Cardiovascular Surgery
Infectious Aortic and Vascular Conditions
article

Aortic complications after treatment with bacillus Calmette-Guérin: a tertiary hospital experience and an update of the literature

Valerio Tolva, Efrem Civilini, Davide Paolo Bernasconi, Luca Bertoglio, Santi TRIMARCHI, Ilenia D’ALESSIO, Alberto FROIO, Daniele BISSACCO, Nicola MONZIO COMPAGNONI, Daria SILOCHE
article en

Abstract

Although extremely rare, mycotic aneurysms related to intravesical BCG instillation can develop months to years after treatment. Diagnosis requires a high index of suspicion due to nonspecific symptoms. Both prosthetic and biological grafts yielded favorable outcomes regarding early mortality and morbidity. Postoperative multidrug antitubercular therapy appears essential following surgical repair.

The Journal of Cardiovascular SurgeryVol. 66(6)
Humanitas University (IT), University of Milan (IT), Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT), University of Milano-Bicocca (IT)
Good health and well-being
Openalex Percentile: Top 27%
Infectious Aortic and Vascular Conditions
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