Home > Journals > The Journal of Cardiovascular Surgery > Past Issues > The Journal of Cardiovascular Surgery 1998 December;39(6) > The Journal of Cardiovascular Surgery 1998 December;39(6):869-71

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,179


eTOC

 

CASE REPORTS  THORACIC PAPERS


The Journal of Cardiovascular Surgery 1998 December;39(6):869-71

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

A case of ruptured descending thoracic aortic aneurysm into the right pleural cavity: importance of preoperative drainage of the right pleural cavity

Akiyama K., Takazawa A., Hirota J., Yamagishi H., Akazawa T.

From the Department of Cardiovascular Surgery Iwaki Kyoritsu General Hospital


PDF  


We ­present an ­unusual ­case of a rup­tured ­descending tho­racic ­aortic aneu­rysm ­into the ­right ­pleural ­cavity of a ­patient ­with ­pectus car­i­natum. The pres­ence of ­pectus car­i­natum ­played an impor­tant ­role in the devel­op­ment of the aneu­rysm at the atyp­ical ­site and the rup­ture ­into the ­right ­pleural ­cavity. A ­small ­amount of ­right ­pleural ­bleeding on admis­sion can ­increase and ­develop to mas­sive hemo­thorax ­until emer­gency oper­a­tion. Mas­sive ­bleeding in the ­right ­pleural ­cavity ­where the depen­dent ­lung is ­located ­causes ate­lec­tasis and ­increased ­shunt frac­tion ­under one ­lung ven­ti­la­tion. There­fore, con­tin­uous ­drainage of the ­right ­pleural ­cavity is essen­tial to pre­vent ­serious ­hypoxia ­during ­graft replace­ment in a ­case of rup­tured ­descending tho­racic aneu­rysm ­into the ­right hem­i­thorax.

top of page

Publication History

Cite this article as

Corresponding author e-mail