Hemodynamically asymptomatic spontaneous rupture of the descending thoracic aorta masquerading as a lung mass

Mehta, Sudhir; Harshvardhan, Leeneshwar; Gupta, Naveen; Kaushik, Debashish; Mangalam, Alok Nath

doi:10.4103/0970-2113.152662

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2019

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“…Spontaneous aortic rupture is extremely rare, with fewer than 40 cases reported 1, 2, 3, 4, 5, 6, 7. Because pre-operative clinical diagnosis is seldom made, a high index of clinical suspicion is important for prompt diagnosis and treatment 3 .…”

Section: Discussionmentioning

confidence: 99%

Endovascular Treatment of Repeated Multilevel Spontaneous Aortic Ruptures: A Case Report

Guimarães¹,

Pessoa²,

Oliveira

et al. 2019

EJVES Short Reports

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Introduction Approximately 40 cases of spontaneous rupture of the aorta have been described in the literature. Diagnosis can be challenging, and a high index of clinical suspicion enabling prompt treatment can be lifesaving. Report This report presents the case of a 73 year old man who had three multilevel ruptures of the aorta at different times, all treated endovascularly. The patient had a good post-operative course, with no complaints during regular follow up. Discussion Clinical presentation was non-specific because the ruptures were contained, but spontaneous rupture of the aorta can manifest with a catastrophic presentation and hypovolaemic shock, requiring immediate treatment. The endovascular technique used was safe and resolved the patient's symptoms.

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