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Journals / Koşuyolu Heart Journal / 2014 / Cilt: 17 - Sayı: 1

Spontaneous Thoracic Aortic Pseudoaneurysm Treated with Endovascular Grafting in a Hemodialysis Patient

Bir Hemodiyaliz Hastasında Endovasküler Greftleme ile Tedavi Edilen Spontan Torasik Aort Yalancı Anevrizması

Ahmet Barış Durukan
Hasan Alper Gürbüz
Cem Yorgancıoğlu
Pages
0
Publication Date
2013-01-01
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The postoperative course was uneventful

📌 3 Key Takeaways

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Objective & Hypothesis:limited with specific anatomical considerations and complications.
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Key Findings & Data:Particularly in high risk patients, endovascular approach offers lower morbidity and mortality(2,3).
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Conclusion & Impact:The postoperative course was uneventful
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Aort · torasik · anevrizma

Abstract

limited with specific anatomical considerations and complications. Particularly in high risk patients, endovascular approach offers lower morbidity and mortality(2,3). A 51 year-old male patient with renal failure experienced dyspnea during dialysis. Chest radiogram revealed massive left-sided pleural effusion. Thoracic computerized tomography documented pseudoaneurysm in thoracic aorta distal to left subclavian artery (48.5x29.1 mm) (Figures 1, 2). There was no history of trauma or percutaneous/ surgical intervention; possibly the atherosclerotic plaque weakened the wall and lead to aortic rupture during a hypertensive attack and pseudoaneurysm developed. Successful endovascular treatment was performed (Figure 3). Left hemithorax was tube-drained after the procedure (defibrinated blood), because preceding intervention could decompress the pseudoaneurysm sac and lead to rupture. The postoperative course was uneventful

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Cite This Article

Durukan, A. B., Gürbüz, H. A., Yorgancıoğlu, C. (2013). Spontaneous Thoracic Aortic Pseudoaneurysm Treated with Endovascular Grafting in a Hemodialysis Patient. Koşuyolu Heart Journal, Cilt: 17 - Sayı: 1, 0. https://ajindex.com/articles/64025

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References (3)

  1. Yilmaz O, Arbatli H, Sirin G, Arpaz M, Yagan NE, Numan F, et al. Endovascular treatment of traumatic thoracic aortic aneurysms: Report of five cases and review of the literature. Ulus Travma Acil Cerrahi Derg 2010;16:575-8.
  2. Demetriades D, Velmahos GC, Scalea TM, Jurkovich GJ, Karmy-Jones R, Teixeira PG, et al; American Association for the Surgery of Trauma Thoracic Aortic Injury Study Group. Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study. J Trauma 2008;64:561-70.
  3. Yaşa H, Bayrak S, Ali Gürbüz A. Abdominal Aort Anevrizmalarında Hibrid Girişimler. Turkiye Klinikleri J Cardiovasc Surg-Special Topics 2011;3:52-60. Figure 2. Three dimensional reconstruction of thoracic aorta clearly demonstrated the pseudoaneurysm formation (arrow). Figure 3. Intraoperative angiography showed successful exclusion of the pseudoaneurysm sac by endovascular stent grafting.