title: Ruptured thoracic aortic aneurysm in patient with systemic lupus erythematosus.
abstract: It is reported a ruptured descending thoracic aortic aneurysm in a 25-year-old systemic lupus erythematosus woman who underwent 19 years steroid therapy. She was treated with 2 endovascular stent-grafts, discharged from hospital 13 days after the procedure in good health. Three months later she returned with hemorrhagic shock due to high digestive hemorrhage secondary to an aortic-esophageal fistula. She underwent to an open emergency surgery, and died during the post-operative period.
authors: Cirurgia Cardiovascular do InCor-HCFMUSP.
authors: Daniel Oliveira
authors: DO
authors: de Conti
authors: Ricardo Ribeiro
authors: RR
authors: Dias
authors: Alfredo Inácio
authors: AI
authors: Fiorelli
authors: Noedir A G
authors: NA
authors: Stolf
mesh_terms: D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000139:chemically induced* / Q000601:surgery; D001019:Aortic Rupture / Q000139:chemically induced* / Q000601:surgery; D004937:Esophageal Fistula / Q000150:complications; D017809:Fatal Outcome; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000188:drug therapy*; D015607:Stents; D013256:Steroids / Q000009:adverse effects*; D016157:Vascular Fistula / Q000150:complications
chemical_list: D013256:Steroids