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Haemoptysis as a presentation of an infected aortic aneurysm rupture.
Multidiscip Respir Med
January 2025
Pneumology Department, Hospital Clínico Universitario de Santiago de Compostela, Spain; Interdisciplinary Research Group in Pneumology, Instituto de Investigaciones Sanitarias de Santiago (IDIS). Santiago de Compostela, Spain; Department of Medicine, Faculty of Medicine, University of Santiago de Compostela, Spain.
Introduction: Infective thoracic aortic aneurysms are uncommon, especially presenting with haemoptysis.
Case Presentation: We report the case of an 81-year-old male who presented with fever and pleuritic chest pain and was initially misdiagnosed with community-acquired pneumonia. A CT scan later revealed a saccular, ruptured thoracic aortic aneurysm.
Complicated mycotic saccular aneurysm of the infra-renal abdominal aorta with infected retroperitoneal hematoma: a clinical case report.
Front Cardiovasc Med
November 2024
National Research Oncology Center, Astana, Kazakhstan.
Background: Rupture of an abdominal aortic aneurysm (AAA) is a life-threatening emergency, with untreated cases nearing a 100% mortality rate. This case presents a rare complication of AAA rupture with an infected retroperitoneal hematoma, emphasizing the importance of timely diagnosis and a multidisciplinary approach.
Case Presentation: A 59-year-old male presented with lower back pain, fever, and difficulty moving, persisting for three weeks.
Treatment of Kommerell's diverticulum in rare aberrant aortic arch anatomy.
Proc (Bayl Univ Med Cent)
July 2024
Department of Vascular Surgery, Baylor Scott and White The Heart Hospital, Plano, Texas, USA.
A Kommerell's diverticulum (KD) is a saccular aneurysmal outpouching at the origin of an aberrant subclavian artery. Due to a lack of data in the literature, there are no standardized guidelines for management of KD, and the diverse presentation of associated aberrant anatomy complicates evaluating the best modality of treatment. We present a 74-year-old woman who had a uniquely aberrant aortic arch with an aberrant retroesophageal right subclavian artery associated with a KD and a saccular aneurysm off the left subclavian artery who was treated via a hybrid approach, demonstrating the feasibility of this treatment modality in a patient with unique aberrant arch anatomy.
View Article and Find Full Text PDFPassive temporary arterial shunt for visceral and distal aortic perfusion during complex aortic surgery.
J Vasc Surg Cases Innov Tech
December 2024
Unit of Vascular Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
On-pump techniques are the methods of choice for organ protection and heart support during thoracoabdominal aortic aneurysm surgical repair. We present a case of a patient with a symptomatic saccular aneurysm of the visceral segment of a severe atheromatous aorta requiring a surgical type IV aortic repair during which we adopted a temporary passive arterial shunt from the left axillary artery to ensure visceral and distal aortic perfusion. The old-fashioned technique of passive shunting to ensure visceral and distal aortic perfusion seems to offer an appealing alternative to on-pump techniques in selected patients.
View Article and Find Full Text PDFHemolytic anaemia due to graft kinking progression and aortic stenosis exacerbation after aortic arch replacement: A case report.
Int J Surg Case Rep
October 2024
Department of Cardiovascular Surgery, Yamato Seiwa Hospital, Kanagawa, Japan.
Introduction: Hemolytic anaemia from graft kinking is a rare complication after aortic surgery, typically treated by graft replacement. This case highlights hemolytic anaemia caused by the interaction of aortic stenosis and a kinked graft, successfully managed with transcatheter aortic valve replacement (TAVR).
Presentation Of Case: A 75-year-old male developed hemolytic anaemia 2 years after total aortic arch replacement for a saccular aneurysm, with a worsening graft kink and aortic stenosis.
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