Thoracic endovascular aortic repair of a ruptured acute type B aortic dissection presenting with right hemothorax: a case report and review of the literature

Takago, Shintaro; Nishida, Satoru; Noda, Yukihiro; Nosaka, Yu; Yamamoto, Toru

doi:10.1007/s11748-021-01678-2

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2023

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“…Left-sided haemothorax is an uncommon but known complication of thoracic aortic dissection, due to the location of the descending aorta relative to the thorax 8. Right-sided haemothorax is much rarer, limited to around 10 cases in the literature 9. A potential mechanism described for right-sided haemothorax is a medial tear in the aorta at the level of the mid-thoracic spine, with bleeding into the posterior mediastinum and crossing the midline to rupture into the right pleural space 10.…”

Section: Discussionmentioning

confidence: 99%

Thoracic aortic dissection presenting with bilateral haemothoraces: a potentially missed diagnosis

Foo

Pozza

2023

BMJ Case Rep

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Thoracic aortic dissection is a life-threatening diagnosis, which should not be missed. We present a case in which a patient who presented to the emergency department with chest pain was assessed and referred for admission for treatment of pneumonia, due to misinterpretation of a chest radiograph finding. The patient was re-reviewed and subsequently underwent further investigation, which confirmed aortic dissection. She underwent emergency thoracic endovascular aortic graft repair with stent graft insertion. This case demonstrates haemothorax as an uncommon complication of aortic dissection.

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Section: Discussionmentioning

confidence: 99%