Abstract
The development of a right hemothorax as the result of a ruptured thoracoabdominal aneurysm is an uncommon and usually fatal event. Survival depends upon an accurate diagnosis and prompt surgical intervention. We present a case of a ruptured thoracoabdominal aneurysm into the right chest that presented as opacification of the right hemithorax and hypotension. An early CT scan provided the correct preoperative diagnosis, although the patient did not survive.
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References
McNamara JJ, Pressler VM (1978) Natural history of arteriosclerotic thoracic aortic aneurysms. Ann Thorac Surg 26:468–472
Joyce JW, Fairbairn JF II, Kincaid OW, Juergens JL (1964) Aneurysms of the thoracic aorta: A clinical study with special reference to prognosis. Circulation 29:176–181
Kusich VA, Vogelzang RL, Hartz RS, LoCicero J III, Dalton D (1986) Ruptured thoracic aneurysm: Unusual manifestation and early diagnosis using CT. Radiology 160:87–89
Schechter LS, Held BT (1974) Right-sided extra-pleural hematoma: An unusual presentation of ruptured aortic aneurysm. Chest 65:355–357
Hines GL (1980) Rupture of non-traumatic thoracic aneurysms into the right hemithorax. J Cardiovasc Surg 21:552–558
Karam PG, Novick RJ, Glickman LT, Blundell PE (1986) Right hemothorax: An unusual presentation of ruptured infrarenal abdominal aneurysm. Can J Surg 29:133–134
Abel RM, Alpert J, Fisch D, Gielchinsky I, Parsonnet V (1980) Rupture of thoracic aneurysm into the right pleural space. J Med Soc NJ 3:199–202
Campbell M (1946) Dissecting aneurysm with survival for three months after rupture into the pleura. Br Heart J 8:200–202
Kampmeier RH (1938) Saccular aneurysm of the thoracic aorta: A clinical study of 633 cases. Ann Intern Med 12:624–651
Lipchik EO, Robinson KE (1968) Acute traumatic rupture of the thoracic aorta. Am J Roentgenol Radium Ther Nucl Med 104:408–412
Steinberg I, Dotter CT, Niles NR (1964) Roentgen features of threatening thoracic aortic rupture. Am J Roentgenol Radium Ther Nucl Med 91:1288–1294
Faraci PA, Payne DD, Cleveland RJ (1982) Type III aortic dissection with rupture into the right hemithorax. J Cardiovasc Surg 23:429–431
Mirvis SE, Pais SD, Gens DR (1986) Thoracic aortic rupture: advantages of intraarterial digital subtraction angiography. Am J Radiol 146:987–991
Rosen A, Korobkin M, Silverman PM, Moore AV Jr, Dunnick NR (1984) CT diagnosis of ruptured abdominal aortic aneurysm. Am J Radiol 143:265–268
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Miller, S.F., Shah, H.R., Pritchard, R.S. et al. CT diagnosis of right hemothorax secondary to ruptured thoracoabdominal aneurysm: Case report. Cardiovasc Intervent Radiol 12, 326–328 (1989). https://doi.org/10.1007/BF02575431
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DOI: https://doi.org/10.1007/BF02575431