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

页码：963 / +

页数：2

共 24 条

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