EXTENSIVE LEAKAGE FROM A TYPE B AORTIC DISSECTION WITH MASSIVE LEFT HEMOTHORAX.
- Associate Professor and Cardiothoracic Surgeon, University of Dammam, King Fahd Hospital of the University, Al-Khobar P.O. Box 2208, Saudi Arabia.
- Medical intern, University of Dammam, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia.
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- Corresponding Author
Aortic dissection, or a teat of the aorta, results in the efflux of blood into the mediastinum and, in some instances, results in a hemothorax. A 62-year-old man was referred to the department of cardiothoracic surgery for exploration of left pleural opacity. Computed tomography angiography (CTA) revealed a type B aortic dissection according to the Stanford classification. Emergency trans-endovascular aortic repair was performed by implanting two large stents and a left chest tube to drain the massive hemothorax, which drained 1800mL of fluid. Aortic dissection can result in a hemothorax, particularly in high-risk patients, such as elderly patients and those with systemic hyper tension. As demonstrated in our case, CTA reformatting is crucial for surgical planning and provides information for follow-up analysis and measurements.
[Yasser El-Ghoneimy, Abdullah Al-Otaibi, Mohannad Al-Qahtani and Haider Al-Herz. (2016); EXTENSIVE LEAKAGE FROM A TYPE B AORTIC DISSECTION WITH MASSIVE LEFT HEMOTHORAX. Int. J. of Adv. Res. 4 (Oct). 334-338] (ISSN 2320-5407). www.journalijar.com
