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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 1999 Aprile;40(2):281-3

lingua: Inglese

Tho­racic ­aortic aneu­rysm: a new eti­ology of pul­mo­nary ­cavity

Ramirez M. T., Alvares-Sala R., Martinez M. *, Gomez L., Prados C.

From the Pneu­mology and * Pathology Ser­vices La Paz Hos­pital, Autónoma Uni­ver­sity, ­Madrid, ­Spain


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The ­most fre­quent ­chest X-ray ­finding of ­descending tho­racic ­aortic aneu­rysm is an enlarge­ment of ­medial med­i­as­tinum. Hae­mop­tysis ­caused by tho­racic ­aortic aneu­rysm is ­rare and, nor­mally, ­when it ­occurs, it is due to an ­aorto-bron­cho­pul­mo­nary fis­tula. We ­report the ­case of an 88 ­year-old ­male, ­heavy ­smoker ­with arte­rial hyper­ten­sion, who had ­been oper­ated on for abdom­inal aneu­rysm ­five ­years ­before, ­whose ­unique ­symptom was ­scant hae­mop­tysis and radio­log­i­cally pre­sented a ­cavity ­mass in the ­upper ­left ­lobe. ­Autopsy ­revealed ­that the pul­mo­nary ­cavity ­mass was due to a ­descending tho­racic ­aortic aneu­rysm.

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