Hemoptysis as a Presenting Symptom of a Distal Aortic Arch Aneurysm and Its Repair via an L-Shaped Thoracotomy

Authors

  • Min-Ho Song
  • Tomohiro Nakayama
  • Keisuke Hattori
  • Kenichi Yoshie
  • Yuichi Ueda

DOI:

https://doi.org/10.1532/HSF98.20081140

Abstract

A 61-year-old man presented with multiple episodes of hemoptysis. A computed tomography scan revealed a 70-mm saccular aneurysm of the distal aortic arch. During a surgical repair via a midline sternotomy and a left thoracotomy, a saccular aneurysm was found to protrude into the lung, which had chronically healed. The patient underwent replacement of the Dacron graft, and he recovered well postoperatively. This experience prompted us to report the findings of this unique case.

References

Coblentz CL, Sallee DS, Chiles S. 1988. Aortobronchopulmonary fistula complicating aortic aneurysm: diagnosis in four cases. AJR Am J Roentgenol 150:535-8.nDoss M, Woehleke T, Wood JP, Martens S, Greinecker GW, Moritz A. 2003. The clamshell approach for the treatment of extensive thoracic aortic disease. J Thorac Cardiovasc Surg 126:814-7.nJohnston H, Reisz G. 1989. Changing spectrum of hemoptysis. Underlying causes in 148 patients undergoing diagnostic flexible fiberoptic bronchoscopy. Arch Intern Med 149:1666-8.nMaekawa A, Usui A, Ueda Y. 2007. Surgical repair of traumatic rupture of the discending aorta through ‘L’-thoracotomy [in Japanese]. Kyobu Geka 60:1142-5.n

Published

2009-04-20

How to Cite

Song, M.-H., Nakayama, T., Hattori, K., Yoshie, K., & Ueda, Y. (2009). Hemoptysis as a Presenting Symptom of a Distal Aortic Arch Aneurysm and Its Repair via an L-Shaped Thoracotomy. The Heart Surgery Forum, 12(2), E119-E120. https://doi.org/10.1532/HSF98.20081140

Issue

Section

Articles