Incidental diagnosis of pseudoaneurysm of the thoracic aorta:An unusual late presentation

Yıl 2006, Cilt: 13 Sayı: 4, 32 - 34, 29.04.2009

Mehmet Özaydın , Ercan Varol Ahmet Altınbaş Turhan Yavuz Erdoğan İbrişim

Öz

SüleymanDemirel Üniversitesi
TIP FAKÜLTESİ DERGİSİ: 2006 Aralık; 13(4)



Incidental diagnosis of pseudoaneurysm of the thoracic aorta:
An unusual late presentation



Mehmet Özaydın, Ercan Varol, Ahmet Altınbaş, Turhan Yavuz, Erdoğan Ibrişim



Özet



Geç bir dönemde torasik aort psödoanevrizmasının rastlantısal tespit edildiği ilginç bir olgu



Onaltı yıl önce traktör kazası yapan bir hastada tespit edilen bir kronik torasik aort psödoanevrizmasını sunuyoruz. Üst solunum yolu infeksiyonu nedeni ile hastaneye müracaat etmesine rağmen akciğer grafisinde geniş ve kalsifik aort topuzunun görülmesi üzerine yapılan MR anjiyografi ve aortografide istmus düzeyindeki aortik psödoaanevrizma tespit edildi. Hastanın öyküsü göz önüne alındığında psödoanevrizmanın en muhtemel sebebinin trafik kazası olduğuna karar verildi. Hasta cerrahi olarak başarılı bir şekilde tedavi edildi.



Anahtar kelimeler: aorta, travma, psödoanevrizma




Abstract



A chronic pseudoaneurysm of the thoracic aorta in a 36-year-old man who had been involved in a tractor related traffic accident 16 year earlier is reported. While he was admitted to the hospital for sore throat, routine chest reutgenogram showed a calcified, enlarged aortic knob. Aortography and MRI angiography revealed a pseudoaneurysm of the thoracic aorta at the isthmus level. Depending on his past medical history, the most probable cause of the pseudoaneurysm was the traffic accident. He was treated surgically with success.



Key words: aorta, trauma, pseudoaneurysm.

Anahtar Kelimeler

aorta, travma, psödoanevrizma

Kaynakça

• Eric MI. Diseases of the aorta. In: Braunwald, Zipes, Libby, editors. Heart Disease. 6th ed. Philalephia: WB Saunders Company; 2001. p. 1422-56.
• Mattox KL, Estrera A, Matthew JW. Traumatic heart disease In: Braunwald, Zipes, Libby, editors. Heart Disease. 6th ed. Philalephia: WB Saunders Company; 2001. p.1877-85.
• Symbas PN. Traumatic Heart Disease. In: Fuster V, Wayne RA, O`rourke RA editors. The Heart.10th ed. Int Ed: The McGraw-Hill Companies, 2001; p. 2219-26.
• Merchana A, Tejadab J, Pinedac T, Lopez- Minguezd JR, Roblese M, Pedro F. Pulsating thoracic mass as a main symptom of gigantic pseudoaneurysm of the ascending aorta. Rev Esp Cardiol 2002; 55: 442-45.
• Ito M, Murayama H, Ishida A, Asano S, Nakagawa Y, Nakamura T. Spontaneous nontraumatic rupture of the thoracic aorta: report of a case. Surg Today 2001; 31(8):712-4.
• Flores JA, Nishibe T, Kudo F, Oka J, Miyazaki K, Yasuda K. Dissecting aneurysm of the infrarenal abdominal aorta: report of a case. Surg Today 2002; 32(5): 418-20.
• Richens D, Field M, Neale M, Oakley C. The mechanism of injury in blunt traumatic rupture of the aorta. Eu J Cardiothorac SurgÊ 2002Ê; 21: 288-293.
• Symbas PN, Tyras DH, Ware RE, Hatcher CR. Rupture of the aorta: A diagnostic triad. Ann Thorac Surg 1973; 15:405-410.
• Kaminishi Y, Saito T, Kato M, Kamisawa O, Misawa Y, Fuse K. Successful surgical treatment of chronic traumatic thoracic aneurysm in two patients. Jpn J Thorac Cardiovas Surg 2002; 50(9): 375-7.
• Doss M, Martens S, Hemmer W. Emergency endovascular interventions for ruptured thoracic and abdominal aortic aneurysms. Am Heart J 2002; 144(3): 544-8.