1/10. rupture of aortic aneurysm with right-sided haemothorax.A 62-yr-old male with a history of high blood pressure was admitted for persistent dyspnoea and a right-sided pleural effusion, complicated by a recent episode of shock. There was no history of trauma and the patient denied any thoracic pain. A chest tube was inserted which released nonclotting bloody fluid. A thoracic computed tomographic scan of the chest revealed an aneurysm of the inferior third of the descending thoracic aorta. The patient underwent a successful prosthetic graft replacement. We emphasize that rupture of aortic aneurysms should be considered in the evaluation of spontaneous haemothorax even if it is right-sided and not associated with pain.- - - - - - - - - - ranking = 1keywords = aortic aneurysm (Clic here for more details about this article) |
2/10. Spontaneous thymic cyst hemorrhage causing hemothorax.The case describes a 56-year-old man who had thymic cyst hemorrhage, followed by right hemothorax. There was a high possibility that his accompanying disease, an alteration in hemostasis due to alcoholic liver cirrhosis and hypertension, would induce thymic cyst hemorrhage. Thymic cyst hemorrhage should be included in possible causes of the sudden onset of mediastinal or intrathoracic hemorrhage, in addition to the rupture of aortic aneurysm or malignant mediastinal tumor.- - - - - - - - - - ranking = 0.2keywords = aortic aneurysm (Clic here for more details about this article) |
3/10. Spontaneous hemothorax in patients with von Recklinghausen's disease.Spontaneous massive intrathoracic bleeding is rare except for the rupture of aortic aneurysm or pleural adhesions in association with pneumothorax. We encountered two cases of critical massive hemothorax in patients with von Recklinghausen's disease (type I neurofibromatosis). Case 1; a 59-year-old female suddenly experienced severe back pain followed by syncope and shock. The hemothorax was caused by a bleeding of diffuse type neurofibroma of the parietal pleura and she underwent thoracotomy and surgical ligation of the bleeding vessels. Case 2; a 46-year-old male suddenly suffered back pain and fainted while driving. An intercostal aneurysmal rupture caused a spontaneous hemothorax and he underwent chest tube drainage followed by endovascular coil embolization. We reviewed 23 cases reported in the literature, including our two cases. Spontaneous hemothorax in patients with von Recklinghausen's disease is a life-threatening syndrome and may require emergency surgical or endovascular embolization.- - - - - - - - - - ranking = 0.2keywords = aortic aneurysm (Clic here for more details about this article) |
4/10. Leaking thoraco-abdominal aortic aneurysm presenting with a massive left haemothorax: a clinical trap.A case is described in which a patient, who had had an aortic aneurysm repair 10 years previously, presented with a thoraco-abdominal aortic aneurysm which ruptured immediately above the previous graft. The implications for the management of patients with an abdominal aortic aneurysm repair are discussed.- - - - - - - - - - ranking = 1.4keywords = aortic aneurysm (Clic here for more details about this article) |
5/10. Mediastinal tumors presenting as spontaneous hemothorax, simulating aortic dissection.The usual causes of hemomediastinum and hemothorax include chest trauma, rupture of an aortic aneurysm or aortic dissection. We report two patients who presented with a clinical picture of aortic dissection. In both patients, the chest radiograph revealed anterior mediastinal masses. Aortic dissection could not be excluded on the basis of the chest radiograph, and additional investigation by thoracic aortography was performed. The tumors had undergone spontaneous bleeding into the mediastinum and the pleural space, presumably causing the patients pain. The interesting and unusual causes of spontaneous hemomediastinum and hemothorax are reviewed.- - - - - - - - - - ranking = 0.2keywords = aortic aneurysm (Clic here for more details about this article) |
6/10. Massive idiopathic spontaneous haemothorax. Case report and literature review.Haemothorax is a well-recognized sequela of chest trauma, ruptured aortic aneurysm, and inadvertent puncture of intrathoracic vessels during cannulation or intercostal chest drain insertions, as well as numerous intrapulmonary, pleural and mediastinal conditions. However, massive idiopathic haemothorax occurring in an otherwise healthy subject is, extremely rare, with only two cases reported so far. We add another case and review the scanty literature for identifiable aetiological and predisposing pathological factors. The pathogenesis is discussed and the management outlined, emphasising the diagnostic and therapeutic value of thoracoscopy.- - - - - - - - - - ranking = 0.2keywords = aortic aneurysm (Clic here for more details about this article) |
7/10. Umbilical artery catheterization complicated by multiple mycotic aortic aneurysms.A premature infant had three pseudoaneurysms of the thoracic and abdominal aorta secondary to umbilical artery catheterization and sepsis. The infant had septicemia as the direct result of bacterial contamination of an umbilical artery catheter with staphylococcus aureus. The thoracic pseudoaneurysm caused massive hemothorax and the infant's death. The upper abdominal aortic aneurysm developed at the level of the renal arteries and caused decreased left renal blood flow and renal hypoplasia. The lower abdominal aneurysm involved the right iliac artery and was complicated by mural thrombosis and ischemia of the right leg. To our knowledge, this is the first published case of multiple mycotic aortic aneurysms after umbilical artery catheterization.- - - - - - - - - - ranking = 1.2keywords = aortic aneurysm (Clic here for more details about this article) |
8/10. Right hemothorax: an unusual presentation of ruptured infrarenal abdominal aortic aneurysm.The authors describe what they believe is the first reported case of rupture of an infrarenal abdominal aortic aneurysm into the right pleural cavity. A 75-year-old woman presented simultaneously with two common causes of severe abdominal pain and hypotension: perforated duodenal ulcer and ruptured abdominal aortic aneurysm. The absence of an infrarenal retroperitoneal hematoma delayed the diagnosis of rupture of the abdominal aortic aneurysm and the terminal event was exsanguination into the right pleural cavity through an erosion in the right hemidiaphragm.- - - - - - - - - - ranking = 1.4keywords = aortic aneurysm (Clic here for more details about this article) |
9/10. A ruptured thymic branch aneurysm mimicking a ruptured aortic aneurysm, with associated bronchial artery aneurysms: report of a case.A 57-year-old woman who went into shock following an acute left hemothorax was operated on after stabilization under the diagnosis of a ruptured aortic aneurysm. A left fifth intercostal thoracotomy was done which revealed approximately 500 ml of bloody effusion in the extrapleural space and 2,000 g of clotted blood in the pleural cavity. While the aneurysm was initially thought to have originated in the isthmic or descending aorta, intraoperative findings revealed a swollen hematomatous thymus adherent to the aorta. A ruptured thymic branch aneurysm, 3 cm in diameter, was subsequently found in the resected hematomatous thymus. Histological examination also revealed several small aneurysms in the tortured bronchial arteries. Postoperative angiography showed a saccular aneurysm, 1.5 cm in diameter, and several smaller aneurysms in the bronchial artery of the left lung. The aneurysm was successfully treated by a transcatheter arterial embolization, and the patient has had no further symptoms since then. To our knowledge, there has been no other case of a ruptured thymic artery aneurysm reported in the literature, and only a few cases of bronchial artery aneurysms have been documented.- - - - - - - - - - ranking = 1keywords = aortic aneurysm (Clic here for more details about this article) |
10/10. A case of ruptured descending thoracic aortic aneurysm into the right pleural cavity: importance of preoperative drainage of the right pleural cavity.We present an unusual case of a ruptured descending thoracic aortic aneurysm into the right pleural cavity of a patient with pectus carinatum. The presence of pectus carinatum played an important role in the development of the aneurysm at the atypical site and the rupture into the right pleural cavity. A small amount of right pleural bleeding on admission can increase and develop to massive hemothorax until emergency operation. Massive bleeding in the right pleural cavity where the dependent lung is located causes atelectasis and increased shunt fraction under one lung ventilation. Therefore, continuous drainage of the right pleural cavity is essential to prevent serious hypoxia during graft replacement in a case of ruptured descending thoracic aneurysm into the right hemithorax.- - - - - - - - - - ranking = 1keywords = aortic aneurysm (Clic here for more details about this article) |
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