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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1998 June;39(3):383-5

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Massive spon­ta­ne­ous hemo­thor­ax as a pre­sent­ing ­sign of aneu­rys­mal rup­ture of ­the inter­nal tho­rac­ic ­artery. A ­case ­report

Cohen J. D., Sahar G., Singer P., Nili M.*, Keslin J., Vidne B. A.*

From ­the Departments of General Intensive Care and *Cardiothoracic Surgery Rabin Medical Center, Beilinson Campus, Petach Tikva affil­i­at­ed to ­the Sackler Faculty of Medicine, Tel Aviv University, Israel


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Massive spon­tane­ous hemo­thor­ax is a ­very un­com­mon, ­life-threat­en­ing sit­u­a­tion. Acute dis­sec­tion ­and rup­tured aor­ta ­can be ­one of ­the dif­fe­ren­tial diag­nos­es, ­but usu­al­ly ­the clin­i­cal fea­ture is com­plete­ly dif­fer­ent, ­and ­very ­few ­patients ­have sur­vived ­this ­event ­and ­received med­i­cal atten­tion. Among oth­er caus­es of spon­ta­neous bleed­ing, ­some ­are extreme­ly ­rare, demand­ing pre­cise diag­no­sis ­and judi­cial ­and imme­di­ate inter­ven­tion. We ­describe a ­patient ­who pre­sent­ed ­with a mas­sive hemo­thor­ax. There ­was no imme­di­ate­ly appar­ent ­cause. Emergent angio­gra­phy ­revealed ­active bleed­ing ­from ­an extreme­ly unusu­al ­source: aneu­rys­mal dil­a­ta­tion of ­the inter­nal tho­rac­ic ­artery.

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