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A Journal on Surgery

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Chirurgia 2010 December;23(6):289-91

language: English

Recurrent massive hemoptysis due to penetrating aortic ulcer, intramural hematoma and aorto-bronchial fistula treated with endovascular stent-graft: a case report

Sibasankar D., Anirban D., Stalin V.

1 Department of Interventional Radiology, SevenHills Hospital, Visakhapatnam, India
2 Department of Pulmonary Medicine, SevenHills Hospital, Visakhapatnam, India
3 Department of Internal Medicine, Visakhapatnam, India


We report the case of a 75-year-old smoker who presented with recurrent episodes of massive hemoptysis. Angiogram of bilateral bronchial arteries, intercostals arteries, and bilateral internal mammary arteries revealed no abnormal blush. Computed tomography angiography revealed a penetrating atherosclerotic aortic ulcer, and an intramural hematoma. Through femoral approach, a thoracic aortic endovascular stent was deployed across the ulcer. With supportive therapy that included blood products and mechanical ventilation, the patient was able to be discharged within a week of his admission. We have been unable to find such a reported case from India.

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