[Left hemothorax caused by aortic dissection]. / Hémothorax gauche, mode de révélation d'une dissection aortique.
Rev Pneumol Clin
; 63(2): 119-22, 2007 Apr.
Article
em Fr
| MEDLINE
| ID: mdl-17607219
ABSTRACT
Hemothorax is generally secondary to trauma, invasive thoracic surgery or specific lung of pleural disease. Hemothorax secondary to aortic dissection is rare. We report a case in a 69-year-old man with a history of smoking and hypertension. The patient was referred for exploration of a left pleural opacity with mediastinal widening. Pleural puncture produced a hemorrhagic fluid. The thoracic scan led to the diagnosis of Stanford type B aortic dissection. The patient was given antihypertensive treatment and now has a sixteen month follow-up. Aortic dissection can give rise to hemothorax, especially in a hypertensive subject with an anomalous aortic arch or mediastinal widening on the chest X-ray. Computed tomography generally gives the diagnosis. Treatment may be medical or surgical, depending on the site of the lesion and the severity of the clinical presentation. Aortic dissection is a cause of hemothorax, particularly in patients with favorable conditions or a suggestive radiological anomaly.
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Base de dados:
MEDLINE
Assunto principal:
Aneurisma da Aorta Torácica
/
Hemotórax
/
Dissecção Aórtica
Limite:
Aged
/
Humans
/
Male
Idioma:
Fr
Ano de publicação:
2007
Tipo de documento:
Article