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
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

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