Hemoptysis as an unusual manifestation of thoracic aortic aneurysm

An 82-year-old woman with a history of high blood pressure, passive smoking for 20 years. She had chest pain and dyspnea for one month. She was admitted for hemoptysis in the last week. On the sixth day of hospitalization, while the studies were being performed, she presented massive hemoptysis with...

ver descrição completa

Detalhes bibliográficos
Autores: Salazar-F, Jenny Carolina, Rodríguez-C, Tania Paola, Rangel-R, Diego Alejandro, Pardo-G, Manuel Fernando
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2021
País:Perú
Recursos:Sociedad Peruana de Medicina Interna
Repositório:Revista de la Sociedad Peruana de Medicina Interna
Idioma:espanhol
OAI Identifier:oai:medicinainterna.net.pe:article/597
Acesso em linha:https://revistamedicinainterna.net/index.php/spmi/article/view/597
Access Level:Acceso aberto
Palavra-chave:aneurisma
hemoptisis
aorta torácica
endoprótesis
aneurysm
hemoptysis
thoracic aorta
stent
Descrição
Resumo:An 82-year-old woman with a history of high blood pressure, passive smoking for 20 years. She had chest pain and dyspnea for one month. She was admitted for hemoptysis in the last week. On the sixth day of hospitalization, while the studies were being performed, she presented massive hemoptysis with hypovolemic shock. After being given supportive measures, imaging studies showed a saccular aneurysm in the initial portion of the descending aorta with a mural thrombus and compression of the adjacent pulmonary parenchyma. The aortogram showed a penetrated ulcer in the descending thoracic aorta. An endoprosthesis implant was performed. The evolution was favorable.