Abstract
Descending aortic aneurysms, dissection or perforation are life-threatening pathologies. Elective open surgery for descending aortic aneurysm carries a high mortality risk up to %10, while emergent operations for acute dissection or rupture were found up to 41% [
Highlights
Descending aortic aneurysms, dissection or perforation are life-threatening pathologies
Thoracic and abdominal CT-Scan with contrast showed right extra pleural huge hematoma associated with dilated descending aortic mural thrombosis (48.50 mm) and extravasation to the right hemithorax (Figure 1). He was admitted to our intensive care unit (ICU) and a blood transfusion was done
Descending aortic perforation is one of the most critical pathologies of the aorta usually treated by thoracic aortic endovascular repair (TEVAR) when it’s possible
Summary
Descending aortic aneurysms, dissection or perforation are life-threatening pathologies. Thoracic and abdominal CT-Scan with contrast showed right extra pleural huge hematoma associated with dilated descending aortic mural thrombosis (48.50 mm) and extravasation to the right hemithorax (Figure 1) He was admitted to our intensive care unit (ICU) and a blood transfusion was done. The perforation site was found at the distal and medial sites of the thoracic aorta, a few centimeters above the diaphragm level of about 2-2.5 cm in diameter (Figure 4). He is free from any complaints and controls Ct-scan and blood investigations are in acceptable ranges
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