Massive Hemorrhage From the Aorta on Removal of an Anterior Mediastinal Tumor in Spite of Using an Endovascular Stent Graft: A Case Report

A 68-year-old man was scheduled for mediastinal tumor resection. Aortic invasion was unclear on preoperative computed tomography. Transesophageal echocardiography showed a smooth endothelial border, but the tumor was contiguous with the distal arch, and the adventitial border was unclear. After medi...

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Detalles Bibliográficos
Autores principales: Hayashi, Yuri, Yasuda, Atsushi, Adachi, Sho, Sawamura, Shigehito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc 2019
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6484526/
https://www.ncbi.nlm.nih.gov/pubmed/30575606
http://dx.doi.org/10.1213/XAA.0000000000000948
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author Hayashi, Yuri
Yasuda, Atsushi
Adachi, Sho
Sawamura, Shigehito
author_facet Hayashi, Yuri
Yasuda, Atsushi
Adachi, Sho
Sawamura, Shigehito
author_sort Hayashi, Yuri
collection PubMed
description A 68-year-old man was scheduled for mediastinal tumor resection. Aortic invasion was unclear on preoperative computed tomography. Transesophageal echocardiography showed a smooth endothelial border, but the tumor was contiguous with the distal arch, and the adventitial border was unclear. After median sternotomy, the tumor was found to be adherent to the aorta. An endovascular stent graft was placed in the distal arch to protect the aorta, but excessive bleeding occurred from the aortic defect on tumor removal. This case shows that massive hemorrhage can occur during the resection of an aorta-invading tumor despite the use of an endovascular stent graft.
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spelling pubmed-64845262019-05-29 Massive Hemorrhage From the Aorta on Removal of an Anterior Mediastinal Tumor in Spite of Using an Endovascular Stent Graft: A Case Report Hayashi, Yuri Yasuda, Atsushi Adachi, Sho Sawamura, Shigehito A A Pract Case Reports A 68-year-old man was scheduled for mediastinal tumor resection. Aortic invasion was unclear on preoperative computed tomography. Transesophageal echocardiography showed a smooth endothelial border, but the tumor was contiguous with the distal arch, and the adventitial border was unclear. After median sternotomy, the tumor was found to be adherent to the aorta. An endovascular stent graft was placed in the distal arch to protect the aorta, but excessive bleeding occurred from the aortic defect on tumor removal. This case shows that massive hemorrhage can occur during the resection of an aorta-invading tumor despite the use of an endovascular stent graft. Wolters Kluwer Health, Inc 2019-02-01 2018-12-19 /pmc/articles/PMC6484526/ /pubmed/30575606 http://dx.doi.org/10.1213/XAA.0000000000000948 Text en Copyright © 2018 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Anesthesia Research Society. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Reports
Hayashi, Yuri
Yasuda, Atsushi
Adachi, Sho
Sawamura, Shigehito
Massive Hemorrhage From the Aorta on Removal of an Anterior Mediastinal Tumor in Spite of Using an Endovascular Stent Graft: A Case Report
title Massive Hemorrhage From the Aorta on Removal of an Anterior Mediastinal Tumor in Spite of Using an Endovascular Stent Graft: A Case Report
title_full Massive Hemorrhage From the Aorta on Removal of an Anterior Mediastinal Tumor in Spite of Using an Endovascular Stent Graft: A Case Report
title_fullStr Massive Hemorrhage From the Aorta on Removal of an Anterior Mediastinal Tumor in Spite of Using an Endovascular Stent Graft: A Case Report
title_full_unstemmed Massive Hemorrhage From the Aorta on Removal of an Anterior Mediastinal Tumor in Spite of Using an Endovascular Stent Graft: A Case Report
title_short Massive Hemorrhage From the Aorta on Removal of an Anterior Mediastinal Tumor in Spite of Using an Endovascular Stent Graft: A Case Report
title_sort massive hemorrhage from the aorta on removal of an anterior mediastinal tumor in spite of using an endovascular stent graft: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6484526/
https://www.ncbi.nlm.nih.gov/pubmed/30575606
http://dx.doi.org/10.1213/XAA.0000000000000948
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