scholarly journals Recurrent Aortobronchial Fistula after Endovascular Stenting for Infected Pseudoaneurysm of the Proximal Descending Thoracic Aorta: Case Report

2021 ◽  
Vol 54 (5) ◽  
pp. 425-428
Author(s):  
Sun-Geun Lee ◽  
Seung Hyong Lee ◽  
Won Kyoun Park ◽  
Dae Hyun Kim ◽  
Jae Won Song ◽  
...  
Keyword(s):  
Case Report ◽  
Thoracic Aorta ◽  
Descending Thoracic Aorta ◽  
Endovascular Stenting ◽  
Aortobronchial Fistula ◽  
Infected Pseudoaneurysm

scholarly journals Tuberculous pseudoaneurysm of the descending thoracic aorta: A case report and literature review of surgically treated cases

1996 ◽  
Vol 24 (4) ◽  
pp. 693-697 ◽  
Author(s):  
Teruo Ikezawa ◽  
Yasushi Iwatsuka ◽  
Kenichi Naiki ◽  
Masahiko Asano ◽  
Syuhei Ikeda ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Thoracic Aorta ◽  
Descending Thoracic Aorta

scholarly journals Sequential ruptures of penetrating atherosclerotic ulcers of ascending aorta, aortic arch and descending thoracic aorta

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Pankaj Kaul ◽  
Rodolfo Paniagua ◽  
Afroditi Petsa ◽  
Raj Singh
Keyword(s):  
Renal Cell Carcinoma ◽  
Case Report ◽  
Thoracic Aorta ◽  
Renal Cell ◽  
Ascending Aorta ◽  
Descending Thoracic Aorta ◽  
Graft Replacement ◽  
Penetrating Ulcer ◽  
Similarities And Differences ◽  
Aortic Dissections

Abstract Background Penetrating ulcers of aorta, aortic dissections and intramural hematomas all come under acute aortic syndromes and have important similarities and differences. Case report We report a 67 year old man with rupture of a large penetrating ulcer of the distal ascending aorta with hemopericardium and left hemothorax. He underwent interposition graft replacement of ascending aorta and hemi-arch with a 30 mm Gelweave Vascutek graft but represented 6 months later with development of a penetrating ulcer which ruptured into a huge 14 cm pseudoaneurysm. This was repaired with a 28 mm Vascutek Gelseal graft replacement of arch and interposition graft reconstruction of innominate and left common carotid arteries. 6 weeks later, however, he ruptured his proximal descending aorta and underwent TEVAR satisfactorily. Unfortunately, 2 days later, he developed a pathological fracture of left proximal tibia with metastasis from a primary renal cell carcinoma. He died 3 weeks later from respiratory failure. We shall briefly outline the similarities and differences in presentation and management of penetrating aortic ulcers, aortic dissections and intramural haematomas. We shall discuss, in greater detail, penetrating ulcers of thoracic aorta, their natural history, location, complications and management. Conclusion This case report is unique on account of initial successful surgical redressal following rupture of penetrating ulcer of distal ascending aorta into left pleural and pericardial cavities, normally associated with instant death. The haemodynamic effects of the rupture were staggered due to initial contained rupture into a smaller pseudoaneurysm, followed by a further rupture into a false aneurysmal sac followed eventually by generalised rupture into the pleural and pericardial cavities - a unique way of aortic rupture. Further development of another penetrating ulcer and a small pseudoaneurysm in the distal arch 6 months later which further ruptured into a larger 14 cm false aneurysmal sac, which again did not result in exsanguination, is again extraordinarily rare. Thereafter he underwent emergency thoracic endovascular aortic repair (TEVAR) for a further rupture of descending thoracic aorta. All three ruptures were managed successfully and would usually be associated with near-certain death, only for the patient to succumb eventually to the complications of metastatic renal cell carcinoma.

Mycotic Aneurysm of the Descending Thoracic Aorta Review and Case Report

2007 ◽  
Vol 107 (5) ◽  
pp. 544-547 ◽  
Author(s):  
J. N. Helleman ◽  
J. M. H. Hendriks ◽  
I. Deblier ◽  
V. T. Tran ◽  
A. Bouhouch ◽  
...  
Keyword(s):  
Case Report ◽  
Thoracic Aorta ◽  
Mycotic Aneurysm ◽  
Descending Thoracic Aorta
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