Near-fatal hemoptysis and emergency surgical repair after aortic patch-plasty.
A 38-year-old man presented with massive hemoptysis followed by hemorrhage shock. The patient's history revealed a Dacron patch repair for aortic coarctation and recoarctation carried out twice, once 23 and once 10 years ago. Diagnosis of a ruptured descending aortic aneurysm with an aortobronchial fistula into the left lower lobe was established using CT scan. Emergency surgery consisted of left pneumonectomy and descending aortic graft replacement during deep hypothermic circulatory arrest. The patient was discharged 12 days later.
Kamler
M
M
Department of Thoracic and Cardiovascular Surgery, University of Essen, Hufelandstrasse 55, 45122 Essen, Germany. Markus.Kamler@uni-essen.de
Tuengerthal
S
S
Rauch
H
H
Hagl
S
S
Jakob
H
H
D000328:Adult; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D001017:Aortic Coarctation / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D001983:Bronchial Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D004638:Emergency Treatment; D006469:Hemoptysis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D011013:Pneumonectomy; D011859:Radiography