Pseudoaneurysm of the Thoracic Aorta Following Botulinum Toxin Injection to the Esophagus

Overview

Journal J Vasc Surg Cases Innov Tech

Date 2024 Jun 3

PMID 38827205

Authors

Timothy P Shiraev

Trevor M Y Kwok

Saissan Rajendran

John P Gan

Raffi A Qasabian

Affiliations

Soon will be listed here.

Abstract

Aortic pseudoaneurysms are uncommon and are usually secondary to penetrating trauma. We describe the presentation and management of an elderly woman who suffered a pseudoaneurysm of the descending thoracic aorta several days after receiving botulinum toxin injection to the esophagus. Urgent thoracic endovascular aortic repair was performed, and long-term antibiotic therapy was commenced. Despite a slow initial clinical recovery, she returned to an independent lifestyle, with radiographic resolution of the pseudoaneurysm seen at follow-up. This case illustrates that endovascular aortic repair is a suitable and safe treatment option for this unusual presentation.

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