How should I treat a massive pulmonary haemorrhage secondary to a TEVAR procedure in a patient with a thoracic aortic aneurysm and a type B aortic dissection?

被引：0
|
作者：
Tognarelli, Andrea [1 ]
Palmieri, Cataldo [1 ]
Rizza, Antonio [1 ]
Troiani, Roberto [2 ]
Vaghetti, Marco [1 ]
Mariani, Massimiliano [1 ]
Murzi, Michele [1 ]
Trianni, Giuseppe [1 ]
Berti, Sergio [1 ]
de Donato, Gianmarco [3 ]
Setacci, Francesco [4 ]
Galzerano, Giuseppe [3 ]
Setacci, Carlo [3 ]
Stabile, Eugenio [5 ]
Esposito, Giovanni [5 ]
机构：
[1] Osped Cuore, Fdn Toscana Gabriele Monasterio, Adult Cardiol Unit, Via Aurelia Sud, I-54100 Massa, Tuscany, Italy
[2] ASL 1 Massa Carrara, Dept Vasc Surg, Tuscany, Italy
[3] Univ Siena, Vasc Surg Unit, Dept Med Surg & Neurosci, Via Laterina 8, I-53100 Siena, Italy
[4] Univ Roma La Sapienza, Dept Surg P Valdoni, Piazzale Aldo Moro 5, I-00185 Rome, Italy
[5] Univ Naples Federico II, Dept Adv Biomed Sci, Naples, Italy
来源：
EUROINTERVENTION | 2015年 / 11卷 / 08期
关键词：
aortic aneurysm; massive harmoptysis; TEVAR;
D O I：
10.4244/EIJV11I8A196
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
BACKGROUND: A 37-year-old man was referred for surgical treatment for a huge thoracic aortic aneurysm (90x80 mm) surrounding an endograft previously implanted in the thoracic aorta, During the procedure, massive haemoptysis ocourred with acute haemodynamic instability. INVESTIGATION: Physical examination, transthoracic echocardiography, thoracic and abdominal CT scan aortography. DIAGNOSIS: Haemodynamic instability and massive haemoptysis during a thoracic endovasoular aortic repair (TEVAR) procedure for a huge aortic aneursym. MANAGEMNT: TEVAR procedure, haemodynamic and respiratory support.
引用
收藏
页码：963 / +
页数：2
相关论文
共 24 条
  • [1] How should we treat uncomplicated subacute type B aortic dissection in octogenarians?
    Nakamura, Ken
    Uchida, Tetsuro
    Hamasaki, Azumi
    Sadahiro, Mitsuaki
    JOURNAL OF CARDIOTHORACIC SURGERY, 2019, 14 (1)
  • [2] How should we treat uncomplicated subacute type B aortic dissection in octogenarians?
    Ken Nakamura
    Tetsuro Uchida
    Azumi Hamasaki
    Mitsuaki Sadahiro
    Journal of Cardiothoracic Surgery, 14
  • [3] Retrograde type A aortic dissection complicating endovascular therapy of type B aortic dissection and descending thoracic aneurysm disease
    Zhang, Simeng
    Chen, Yanqing
    Lu, Qingsheng
    CURRENT OPINION IN CARDIOLOGY, 2018, 33 (06) : 581 - 586
  • [4] Outcomes and aortic remodelling after proximal thoracic endovascular aortic repair of post type B aortic dissection thoracic aneurysm
    Shi, Zhenyu
    Yang, Jun
    Fu, Weiguo
    Guo, Daqiao
    Xu, Xin
    Chen, Bin
    Jiang, Junhao
    Yang, Jue
    Zhu, Ting
    Dong, Zhihui
    Wang, Lixin
    Shi, Yun
    Tang, Xiao
    Yue, Jianing
    VASA-EUROPEAN JOURNAL OF VASCULAR MEDICINE, 2016, 45 (04) : 331 - 336
  • [5] A rare case of leaking thoracic aortic aneurysm in a patient with massive pulmonary embolism
    Shabib Al-Zuabi
    Alexander P. Varkey
    Safia F. Abdalmaksoud
    Hadeel S. Alothman
    Ibrahim Alrashdan
    The Egyptian Journal of Internal Medicine, 2013, 25 (1) : 47 - 50
  • [6] Fit patients with uncomplicated type B aortic dissection with dilated aorta should have TEVAR: a review
    De Rango, P.
    Safi, H. J.
    Estrera, A. L.
    ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2009, 16 (02): : 107 - 116
  • [7] Early and Long-term Outcome after Thoracic Endovascular Aortic Repair (TEVAR) for Acute Complicated Type B Aortic Dissection
    Steuer, J.
    Eriksson, M. -O
    Nyman, R.
    Bjorck, M.
    Wanhainen, A.
    EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2011, 41 (03) : 318 - 323
  • [8] Implications of secondary aortic intervention after thoracic endovascular aortic repair for acute and chronic type B dissection
    Orr, Nathan
    JOURNAL OF VASCULAR SURGERY, 2019, 69 (05) : 1378 - 1378
  • [9] Secondary aortic intervention may not impair survival in patients treated with TEVAR for type B aortic dissection: A Finnish national registry study
    Juhana, Toimela
    Marja, Hedman
    Tuomas, Selander
    Annastiina, Husso
    SCANDINAVIAN JOURNAL OF SURGERY, 2025,
  • [10] Thoracic Endovascular Aortic Repair (TEVAR) First in Patients with Lower Limb Ischemia in Complicated Type B Aortic Dissection: Clinical Outcome and Morphology
    Meisenbacher, Katrin
    Hagedorn, Matthias
    Skrypnik, Denis
    Kilian, Samuel
    Boeckler, Dittmar
    Bischoff, Moritz S.
    Peters, Andreas S.
    JOURNAL OF CLINICAL MEDICINE, 2022, 11 (14)
123