What is it about?
A 30-year-old man with Dacron graft aortoplasty for aortic coarctation 20 years earlier, was admitted with massive hemoptysis. Chest radiography indicated a normal cardiac silhouette with mediastinal widening due to a mass lesion in the aorta. Fiberoptic bronchoscopy showed no active bleeding, but the left bronchi were compressed from the outside. Magnetic resonance imaging revealed discrete aortic bulging just after the left subclavian artery branches. Nonselective aortography demonstrated a huge aortic aneurysm without any connection to the pulmonary vascular bed.
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Why is it important?
The aneurysm was resected and a Dacron graft was interposed. The patient recovered uneventfully and was discharged asymptomatic. Hemoptysis was probably due to obliteration of pulmonary microvasculature and pressure necrosis of bronchi
Perspectives
Hemoptysis was probably due to obliteration of pulmonary microvasculature and pressure necrosis of bronchi
Reza Mollazadeh
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This page is a summary of: Hemoptysis Due to Aortic Aneurysm at the Site of Coarctation Repair, Asian Cardiovascular and Thoracic Annals, February 2008, SAGE Publications,
DOI: 10.1177/021849230801600124.
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