Ruptured pseudoaneurysm of the thoracic aorta mimicking lung cancer: A case report

被引：0

作者：

Takahara, Yutaka ^{[1
]}

Nishiki, Kazuaki ^{[1
]}

Nakase, Keisuke ^{[1
]}

Mizuno, Shiro ^{[1
]}

机构：

[1] Kanazawa Med Univ, Dept Resp Med, 1-1 Daigaku, Uchinada, Ishikawa 9200293, Japan

来源：

THORACIC CANCER | 2021年 / 12卷 / 05期

关键词：

Lung cancer; pseudoaneurysm of thoracic aorta; ruptured aneurysm; ABDOMINAL-AORTA; FALSE ANEURYSM; REPAIR; CT;

D O I：

10.1111/1759-7714.13783

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

A 70-year-old woman was admitted to a local hospital with a five-day history of back pain. She had been referred to our hospital after an abnormal chest shadow was identified on chest X-ray. Chest computed tomography (CT) revealed an anterior mediastinal mass in the upper lobe of the left lung. Her general condition was good. She was diagnosed with lung cancer, and examination was planned. However, respiratory failure rapidly worsened on hospital day 2, and a ruptured pseudoaneurysm of the thoracic aorta (PTA) was diagnosed from contrast-enhanced CT. Emergency thoracic endovascular aortic repair was successfully performed, and her postoperative course was uneventful. The hemodynamics of the PTA were stable in the case of this patient, but the risk of rupture is extremely high and frequently fatal. PTA should therefore be included among the differential diagnoses of mediastinal tumor.

引用

页码：685 / 689

页数：5

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