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Spontaneous Thoracic Aortic Pseudoaneurysm Treated with Endovascular Grafting in a Hemodialysis Patient

Year 2014, Volume: 17 Issue: 1, 0 - , 01.01.2013

Ahmet Barış Durukan Hasan Alper Gürbüz Cem Yorgancıoğlu

https://doi.org/10.4274/khj.5065

Abstract

limited with specific anatomical considerations and complications. Particularly in high risk patients, endovascular approach offers lower morbidity and mortality(2,3). A 51 year-old male patient with renal failure experienced dyspnea during dialysis. Chest radiogram revealed massive left-sided pleural effusion. Thoracic computerized tomography documented pseudoaneurysm in thoracic aorta distal to left subclavian artery (48.5x29.1 mm) (Figures 1, 2). There was no history of trauma or percutaneous/ surgical intervention; possibly the atherosclerotic plaque weakened the wall and lead to aortic rupture during a hypertensive attack and pseudoaneurysm developed. Successful endovascular treatment was performed (Figure 3). Left hemithorax was tube-drained after the procedure (defibrinated blood), because preceding intervention could decompress the pseudoaneurysm sac and lead to rupture. The postoperative course was uneventful

Keywords

Aorta thoracic; aneurysm false; renal insufficiency; endovascular procedures

References

  • Yilmaz O, Arbatli H, Sirin G, Arpaz M, Yagan NE, Numan F, et al. Endovascular treatment of traumatic thoracic aortic aneurysms: Report of five cases and review of the literature. Ulus Travma Acil Cerrahi Derg 2010;16:575-8.
  • Demetriades D, Velmahos GC, Scalea TM, Jurkovich GJ, Karmy-Jones R, Teixeira PG, et al; American Association for the Surgery of Trauma Thoracic Aortic Injury Study Group. Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study. J Trauma 2008;64:561-70.
  • Yaşa H, Bayrak S, Ali Gürbüz A. Abdominal Aort Anevrizmalarında Hibrid Girişimler. Turkiye Klinikleri J Cardiovasc Surg-Special Topics 2011;3:52-60.
  • Figure 2. Three dimensional reconstruction
  • of thoracic aorta clearly demonstrated the
  • pseudoaneurysm formation (arrow).
  • Figure 3. Intraoperative angiography showed
  • successful exclusion of the pseudoaneurysm sac by
  • endovascular stent grafting.

Bir Hemodiyaliz Hastasında Endovasküler Greftleme ile Tedavi Edilen Spontan Torasik Aort Yalancı Anevrizması

Year 2014, Volume: 17 Issue: 1, 0 - , 01.01.2013

Ahmet Barış Durukan Hasan Alper Gürbüz Cem Yorgancıoğlu

https://doi.org/10.4274/khj.5065

Abstract

Keywords

Aort torasik; anevrizma yalancı; böbrek yetmezliği; endovasküler prosedürler

References

  • Yilmaz O, Arbatli H, Sirin G, Arpaz M, Yagan NE, Numan F, et al. Endovascular treatment of traumatic thoracic aortic aneurysms: Report of five cases and review of the literature. Ulus Travma Acil Cerrahi Derg 2010;16:575-8.
  • Demetriades D, Velmahos GC, Scalea TM, Jurkovich GJ, Karmy-Jones R, Teixeira PG, et al; American Association for the Surgery of Trauma Thoracic Aortic Injury Study Group. Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study. J Trauma 2008;64:561-70.
  • Yaşa H, Bayrak S, Ali Gürbüz A. Abdominal Aort Anevrizmalarında Hibrid Girişimler. Turkiye Klinikleri J Cardiovasc Surg-Special Topics 2011;3:52-60.
  • Figure 2. Three dimensional reconstruction
  • of thoracic aorta clearly demonstrated the
  • pseudoaneurysm formation (arrow).
  • Figure 3. Intraoperative angiography showed
  • successful exclusion of the pseudoaneurysm sac by
  • endovascular stent grafting.
There are 9 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Ahmet Barış Durukan This is me

Hasan Alper Gürbüz This is me

Cem Yorgancıoğlu This is me

Publication Date January 1, 2013
Published in Issue Year 2014 Volume: 17 Issue: 1

Cite

APA Durukan, A. B. ., Gürbüz, H. A. ., & Yorgancıoğlu, C. . (2013). Bir Hemodiyaliz Hastasında Endovasküler Greftleme ile Tedavi Edilen Spontan Torasik Aort Yalancı Anevrizması. Koşuyolu Kalp Dergisi, 17(1). https://doi.org/10.4274/khj.5065
AMA Durukan AB, Gürbüz HA, Yorgancıoğlu C. Bir Hemodiyaliz Hastasında Endovasküler Greftleme ile Tedavi Edilen Spontan Torasik Aort Yalancı Anevrizması. Koşuyolu Kalp Dergisi. January 2013;17(1). doi:10.4274/khj.5065
Chicago Durukan, Ahmet Barış, Hasan Alper Gürbüz, and Cem Yorgancıoğlu. “Bir Hemodiyaliz Hastasında Endovasküler Greftleme Ile Tedavi Edilen Spontan Torasik Aort Yalancı Anevrizması”. Koşuyolu Kalp Dergisi 17, no. 1 (January 2013). https://doi.org/10.4274/khj.5065.
EndNote Durukan AB, Gürbüz HA, Yorgancıoğlu C (January 1, 2013) Bir Hemodiyaliz Hastasında Endovasküler Greftleme ile Tedavi Edilen Spontan Torasik Aort Yalancı Anevrizması. Koşuyolu Kalp Dergisi 17 1
IEEE A. B. . Durukan, H. A. . Gürbüz, and C. . Yorgancıoğlu, “Bir Hemodiyaliz Hastasında Endovasküler Greftleme ile Tedavi Edilen Spontan Torasik Aort Yalancı Anevrizması”, Koşuyolu Kalp Dergisi, vol. 17, no. 1, 2013, doi: 10.4274/khj.5065.
ISNAD Durukan, Ahmet Barış et al. “Bir Hemodiyaliz Hastasında Endovasküler Greftleme Ile Tedavi Edilen Spontan Torasik Aort Yalancı Anevrizması”. Koşuyolu Kalp Dergisi 17/1 (January 2013). https://doi.org/10.4274/khj.5065.
JAMA Durukan AB, Gürbüz HA, Yorgancıoğlu C. Bir Hemodiyaliz Hastasında Endovasküler Greftleme ile Tedavi Edilen Spontan Torasik Aort Yalancı Anevrizması. Koşuyolu Kalp Dergisi. 2013;17. doi:10.4274/khj.5065.
MLA Durukan, Ahmet Barış et al. “Bir Hemodiyaliz Hastasında Endovasküler Greftleme Ile Tedavi Edilen Spontan Torasik Aort Yalancı Anevrizması”. Koşuyolu Kalp Dergisi, vol. 17, no. 1, 2013, doi:10.4274/khj.5065.
Vancouver Durukan AB, Gürbüz HA, Yorgancıoğlu C. Bir Hemodiyaliz Hastasında Endovasküler Greftleme ile Tedavi Edilen Spontan Torasik Aort Yalancı Anevrizması. Koşuyolu Kalp Dergisi. 2013;17(1).