Endovascular Treatment of Repeated Multilevel Spontaneous Aortic Ruptures: A Case Report

INTRODUCTION: Approximately 40 cases of spontaneous rupture of the aorta have been described in the literature. Diagnosis can be challenging, and a high index of clinical suspicion enabling prompt treatment can be lifesaving. REPORT: This report presents the case of a 73 year old man who had three m...

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Detalles Bibliográficos
Autores principales: Guimarães, Adriano C., Pessoa, Thaís D.B., de Oliveira, Rodrigo G., Neto, Felipe C., Moreira, Ricardo H., de Araujo, Walter B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6629609/
https://www.ncbi.nlm.nih.gov/pubmed/31341992
http://dx.doi.org/10.1016/j.ejvssr.2019.06.001
Descripción
Sumario:INTRODUCTION: Approximately 40 cases of spontaneous rupture of the aorta have been described in the literature. Diagnosis can be challenging, and a high index of clinical suspicion enabling prompt treatment can be lifesaving. REPORT: This report presents the case of a 73 year old man who had three multilevel ruptures of the aorta at different times, all treated endovascularly. The patient had a good post-operative course, with no complaints during regular follow up. DISCUSSION: Clinical presentation was non-specific because the ruptures were contained, but spontaneous rupture of the aorta can manifest with a catastrophic presentation and hypovolaemic shock, requiring immediate treatment. The endovascular technique used was safe and resolved the patient's symptoms.

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