title: Hemoptysis as a first symptom of endoleak after thoracic endovascular aortic repair, which caused aortic rupture and required complex management.
abstract: Thoracic endovascular aortic repair (TEVAR) has become the most common procedure in the treatment of thoracic aorta aneurysms. However, potential long-term complications of this technique could be life-threatening. Hemoptysis is a common symptom of lung tumor, especially cancer. On the other hand, hemoptysis can also be caused by bronchitis, tuberculosis, mycosis, and trauma. In this case report, we present a patient with hemoptysis and lung tumor suggesting lung cancer, which was a unique symptom of type IA endoleak after TEVAR and led to rupture of the thoracic aneurysm. It was decided to perform next an endovascular procedure due to the severe state of the patient. Next the thoracotomy was performed because drainage of the left pleural cavity was unsuccessful. In the last stage bronchoscopy was needed to remove the thrombus, which occluded the left main bronchi. Successful management has led to the patient's full recovery. Despite justified popularity of endovascular procedures in the treatment of thoracic aorta aneurysms, we should remember about potential long-term complications. Hemoptysis could be a unique symptom of the endoleak after TEVAR and treatment of such complications could be complex and demanding.
authors.affiliation: Department of General and Vascular Surgery and Angiology, Poznan University of Medical Sciences, Poznan, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Synowiec
authors.forename: Marcin
authors.initials: M
authors.lastname: Warot
authors.forename: Paweł
authors.initials: P
authors.lastname: Burchard
authors.forename: Lukasz
authors.initials: L
authors.lastname: Paschke
authors.forename: Zuzanna
authors.initials: Z
authors.lastname: Lysiak
authors.forename: Paweł
authors.initials: P
authors.lastname: Chęciński
keywords: aneurysm; endovascular repair; stent graft; thoracic aorta