CASE REPORT article
Front. Cardiovasc. Med.
Sec. Atherosclerosis and Vascular Medicine
Successful Bentall Procedure for Tuberculous Destroyed Lung Complicated by Ascending Aortic Aneurysm: A Case Report
Huimin Liu 1
Qing Li 1,2
Sijia Wang 1
Weidong Fu 1
Zhujun Huang 1
Mingzhi Zheng 1
Liu Luo 1
Lin Tang 1
1. Zhuzhou Hospital Affiliated to Xiangya School of Medicine,Central South University, Zhuzhou, China
2. Zhuzhou Clinical College,Jishou University, Zhuzhou, China
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Abstract
Background:The coexistence of tuberculous destroyed lung (TDL) and ascending aortic aneurysm represents a rare multimorbidity,posing significant challenges for perioperative management in patients requiring cardiopulmonary bypass (CPB)-assisted major vascular surgery.The clinical manifestations of this polycoexisting disease may be asymptomatic or present with symptoms of one of the diseases or both. Currently, there is no universally accepted diagnostic protocol available for the definitive diagnosis of complex conditions such as tuberculosis and its co-morbidities. Case presentation: A 58-year-old female presented with a one-month history of cough,expectoration, chest tightness,and dyspnea,which exacerbated over the preceding week.Pulmonary computed tomography (CT) revealed left lung fibrosis with architectural destruction,along with aneurysmal dilation of the ascending aorta.Her medical history included tuberculosis (diagnosed 20 years prior, treated with anti-tuberculosis therapy for six months),hypertension (managed with levamlodipine besylate 5 mg daily),and recurrent pulmonary infections.After multidisciplinary evaluation,she underwent an elective Bentall procedure under CPB.Postoperatively,there was no evidence of tuberculosis reactivation or major complications,and she was discharged after 23 days of hospitalization. Conclusions:Successful surgical intervention for TDL combined with thoracic aortic aneurysm is rarely reported.Early diagnosis and timely surgery are critical for improving patient outcomes.This case highlights the importance of multidisciplinary collaboration and customized perioperative strategies for managing such complex multimorbidities.
Summary
Keywords
Ascending thoracic aortic aneurysm(ATAA), Bentall procedure, Cardiopulmonary bypass(CPB), multimorbidity, Tuberculosis Destructive Lung (TDL)
Received
07 December 2025
Accepted
28 January 2026
Copyright
© 2026 Liu, Li, Wang, Fu, Huang, Zheng, Luo and Tang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Lin Tang
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