First MDCT evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, Kommerell's diverticulum and extrapleural hematoma treated by emergency thoracic endovascular aortic repair.
Monaldi Arch Chest Dis
; 90(4)2020 Sep 29.
Article
em En
| MEDLINE
| ID: mdl-32990689
ABSTRACT
Spontaneous ruptured aneurysm involving an aberrant subclavian artery with a right-sided aortic arch and Kommerell's diverticulumis a rare life-threatening condition that can be treated successfully if promptly identified. Multidetector Computed Tomography angiography is the first line imaging modality of thoracic vascular anomalies diagnosis. We report the case of a 74-year-old man suffering from this emergency ondition with mediastinal hematoma mostly extending to the left-side extrapleural cavity. The patient underwent successful emergency thoracic endovascular aortic repair and an Amplatzer vascular plug was placed into the first segment of the ALSA. Post-procedural imaging showed complete exclusion of the aneurysm. Emergency endovascular repair can be effective in such cases.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Divertículo
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Aneurisma da Aorta Torácica
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Aneurisma Roto
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Procedimentos Endovasculares
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Tomografia Computadorizada Multidetectores
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Hematoma
Limite:
Aged
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Humans
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Male
Idioma:
En
Ano de publicação:
2020