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Unusual presentation of acute ruptured penetrating aortic ulcer of descending thoracic aorta with right hemothorax

Right-sided hemothorax is a rare presentation of ruptured penetrating aortic ulcers. A 72-year-old female presented to the hospital with a penetrating aortic ulcer of the mid-thoracic aorta and a right-sided hemothorax. The patient was taken for thoracic endovascular aortic repair and right-sided tu...

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Autores principales: Eckholdt, Connor, Pennywell, David, White, R. Keith, Perkowski, Paul E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10192914/
https://www.ncbi.nlm.nih.gov/pubmed/37213936
http://dx.doi.org/10.1016/j.jvscit.2023.101176
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author Eckholdt, Connor
Pennywell, David
White, R. Keith
Perkowski, Paul E.
author_facet Eckholdt, Connor
Pennywell, David
White, R. Keith
Perkowski, Paul E.
author_sort Eckholdt, Connor
collection PubMed
description Right-sided hemothorax is a rare presentation of ruptured penetrating aortic ulcers. A 72-year-old female presented to the hospital with a penetrating aortic ulcer of the mid-thoracic aorta and a right-sided hemothorax. The patient was taken for thoracic endovascular aortic repair and right-sided tube thoracostomy. The diagnosis was complicated by the patient’s history of pacemaker placement causing prominent venous collaterals in the mediastinum. The postoperative course was complicated by lower extremity weakness, requiring lumbar cerebrospinal fluid drain placement. The patient regained full function of her lower extremities. This case illustrates that patients with ruptured acute aortic syndromes may present with right hemothorax, so index of suspicion should remain high in this population.
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spelling pubmed-101929142023-05-19 Unusual presentation of acute ruptured penetrating aortic ulcer of descending thoracic aorta with right hemothorax Eckholdt, Connor Pennywell, David White, R. Keith Perkowski, Paul E. J Vasc Surg Cases Innov Tech Case report Right-sided hemothorax is a rare presentation of ruptured penetrating aortic ulcers. A 72-year-old female presented to the hospital with a penetrating aortic ulcer of the mid-thoracic aorta and a right-sided hemothorax. The patient was taken for thoracic endovascular aortic repair and right-sided tube thoracostomy. The diagnosis was complicated by the patient’s history of pacemaker placement causing prominent venous collaterals in the mediastinum. The postoperative course was complicated by lower extremity weakness, requiring lumbar cerebrospinal fluid drain placement. The patient regained full function of her lower extremities. This case illustrates that patients with ruptured acute aortic syndromes may present with right hemothorax, so index of suspicion should remain high in this population. Elsevier 2023-04-06 /pmc/articles/PMC10192914/ /pubmed/37213936 http://dx.doi.org/10.1016/j.jvscit.2023.101176 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
Eckholdt, Connor
Pennywell, David
White, R. Keith
Perkowski, Paul E.
Unusual presentation of acute ruptured penetrating aortic ulcer of descending thoracic aorta with right hemothorax
title Unusual presentation of acute ruptured penetrating aortic ulcer of descending thoracic aorta with right hemothorax
title_full Unusual presentation of acute ruptured penetrating aortic ulcer of descending thoracic aorta with right hemothorax
title_fullStr Unusual presentation of acute ruptured penetrating aortic ulcer of descending thoracic aorta with right hemothorax
title_full_unstemmed Unusual presentation of acute ruptured penetrating aortic ulcer of descending thoracic aorta with right hemothorax
title_short Unusual presentation of acute ruptured penetrating aortic ulcer of descending thoracic aorta with right hemothorax
title_sort unusual presentation of acute ruptured penetrating aortic ulcer of descending thoracic aorta with right hemothorax
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10192914/
https://www.ncbi.nlm.nih.gov/pubmed/37213936
http://dx.doi.org/10.1016/j.jvscit.2023.101176
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