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Look Past the Bleed! A Case of Non-Traumatic Thoracic Aortic Pseudoaneurysm Presenting as Haemoptysis.
Ansari, Fawwad Alam; Hamid, Bilal; Mushtaq, Fahad; Aftab, Mubashira; Kiyani, Zainab; Lloyd, Benjamin; Gondal, Muhammad Umer Riaz.
Afiliación
  • Ansari FA; Department of Internal Medicine, Piedmont Athens Regional Medical Center, Athens, USA.
  • Hamid B; Department of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan.
  • Mushtaq F; Department of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan.
  • Aftab M; Department of Internal Medicine, Fazaia Medical College, Islamabad, Pakistan.
  • Kiyani Z; Department of Internal Medicine, Islamabad Medical and Dental College, Islamabad, Pakistan.
  • Lloyd B; Department of Internal Medicine, Reading Hospital, West Reading, USA.
  • Gondal MUR; Department of Internal Medicine, Reading Hospital, West Reading, USA.
Eur J Case Rep Intern Med ; 11(8): 004666, 2024.
Article en En | MEDLINE | ID: mdl-39130062
ABSTRACT

Introduction:

Aortic pseudoaneurysms are a type of contained rupture where most of the aortic wall is breached, leaving only a thin rim of the remaining wall or adventitia to hold the blood. This condition carries a high risk of rupture and potentially fatal complications. Typically, patients present with chest pain; haemoptysis can also occur, though rarely. Case description A 64-year-old male who presented with two episodes of haemoptysis, with no history of cardiovascular surgery or trauma. A chest computerized tomography (CT) followed by an aortogram revealed a thoracic aortic pseudoaneurysm and the patient underwent surgical aortic repair without any complications. This case underscores the rare presentation of thoracic aortic pseudoaneurysm.

Discussion:

Haemoptysis is a rare manifestation of thoracic aorta pseudoaneurysm and can be a warning sign of impending rupture. Haemoptysis may occur due to formation of aortopulmonary fistula or direct erosion of pseudoaneurysm into lung parenchyma.

Conclusion:

It is imperative for clinicians to recognise such manifestations early for prompt diagnosis and prevention of complications. LEARNING POINTS Recognise haemoptysis as the manifestation of thoracic aortic pseudoaneurysm.Early diagnosis and treatment are crucial due to high rate of complications and mortality.Trauma and cardiovascular surgery are the most common cause for thoracic aortic pseudoaneurysm; however, sometimes it can occur due to atherosclerosis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Eur J Case Rep Intern Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Italia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Eur J Case Rep Intern Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Italia