title: [Massive hemoptysis following thoracic aortic rupture: an advancing field].
abstract: We report the case of a 57-year-old woman who presented with massive hemoptysis and thoracic pain 3 years after the endovascular treatment of a thoracic aortic aneurysm. Emergency work up revealed the presence of an endoleak, leading to the pressurization of the aneurysm sac and its subsequent rupture into the lung parenchyma. The discussion includes presentation, clinical course, diagnosis, complications and new therapeutic options in the management of a massive hemoptysis secondary to aortic rupture. All together, the case and discussion highlight the classical rules of critical care and the recent advances in endovascular treatment of thoracic aortic rupture.
authors.affiliation: Service de pneumologie et soins intensifs, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Pradere
authors.affiliation: Service de chirurgie thoracique, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France. Electronic address: pmordant@gmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Mordant
authors.affiliation: Service de chirurgie cardiovasculaire, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Alsac
authors.affiliation: Service de pneumologie et soins intensifs, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France.
authors.forename: O
authors.initials: O
authors.lastname: Sanchez
authors.affiliation: Service de chirurgie thoracique, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Riquet
authors.affiliation: Service de chirurgie cardiovasculaire, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France.
authors.forename: J-N
authors.initials: JN
authors.lastname: Fabiani
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D057510:Endovascular Procedures / Q000009:adverse effects*; D005260:Female; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D008875:Middle Aged
keywords: Anévrysme de l’aorte thoracique; Aortic stent-graft; Endoprothèse; Hemoptysis; Hémoptysie; Thoracic aorta aneurysm