PDF(Pubmed)
Abstract：
UNASSIGNED: Aortic pseudoaneurysms are a type of contained rupture where most of the aortic wall is breached, leaving only a thin rim of the remaining wall or adventitia to hold the blood. This condition carries a high risk of rupture and potentially fatal complications. Typically, patients present with chest pain; haemoptysis can also occur, though rarely.
UNASSIGNED: A 64-year-old male who presented with two episodes of haemoptysis, with no history of cardiovascular surgery or trauma. A chest computerized tomography (CT) followed by an aortogram revealed a thoracic aortic pseudoaneurysm and the patient underwent surgical aortic repair without any complications. This case underscores the rare presentation of thoracic aortic pseudoaneurysm.
UNASSIGNED: Haemoptysis is a rare manifestation of thoracic aorta pseudoaneurysm and can be a warning sign of impending rupture. Haemoptysis may occur due to formation of aortopulmonary fistula or direct erosion of pseudoaneurysm into lung parenchyma.
UNASSIGNED: It is imperative for clinicians to recognise such manifestations early for prompt diagnosis and prevention of complications.
CONCLUSIONS: Recognise haemoptysis as the manifestation of thoracic aortic pseudoaneurysm.Early diagnosis and treatment are crucial due to high rate of complications and mortality.Trauma and cardiovascular surgery are the most common cause for thoracic aortic pseudoaneurysm; however, sometimes it can occur due to atherosclerosis.
UNASSIGNED: A 64-year-old male who presented with two episodes of haemoptysis, with no history of cardiovascular surgery or trauma. A chest computerized tomography (CT) followed by an aortogram revealed a thoracic aortic pseudoaneurysm and the patient underwent surgical aortic repair without any complications. This case underscores the rare presentation of thoracic aortic pseudoaneurysm.
UNASSIGNED: Haemoptysis is a rare manifestation of thoracic aorta pseudoaneurysm and can be a warning sign of impending rupture. Haemoptysis may occur due to formation of aortopulmonary fistula or direct erosion of pseudoaneurysm into lung parenchyma.
UNASSIGNED: It is imperative for clinicians to recognise such manifestations early for prompt diagnosis and prevention of complications.
CONCLUSIONS: Recognise haemoptysis as the manifestation of thoracic aortic pseudoaneurysm.Early diagnosis and treatment are crucial due to high rate of complications and mortality.Trauma and cardiovascular surgery are the most common cause for thoracic aortic pseudoaneurysm; however, sometimes it can occur due to atherosclerosis.
摘要：
■主动脉假性动脉瘤是一种包含性破裂，其中大部分主动脉壁被破坏，只留下剩下的壁或外膜的薄薄的边缘来保存血液。这种情况具有破裂和潜在致命并发症的高风险。通常,患者出现胸痛;咯血也可能发生，虽然很少。
■一名64岁男性出现两次咯血，无心血管手术史或外伤史。胸部计算机断层扫描（CT）然后进行主动脉造影显示胸主动脉假性动脉瘤，患者接受了外科主动脉修复术，没有任何并发症。此病例强调了胸主动脉假性动脉瘤的罕见表现。
■咯血是胸主动脉假性动脉瘤的罕见表现，可能是即将破裂的警告信号。咯血可能是由于主动脉肺瘘的形成或假性动脉瘤直接侵蚀肺实质而发生的。
■临床医生必须及早识别此类表现，以便及时诊断和预防并发症。
结论：认为咯血是胸主动脉假性动脉瘤的表现。由于并发症和死亡率高，早期诊断和治疗至关重要。创伤和心血管手术是胸主动脉假性动脉瘤的最常见原因；然而，有时它可能由于动脉粥样硬化而发生。
■一名64岁男性出现两次咯血，无心血管手术史或外伤史。胸部计算机断层扫描（CT）然后进行主动脉造影显示胸主动脉假性动脉瘤，患者接受了外科主动脉修复术，没有任何并发症。此病例强调了胸主动脉假性动脉瘤的罕见表现。
■咯血是胸主动脉假性动脉瘤的罕见表现，可能是即将破裂的警告信号。咯血可能是由于主动脉肺瘘的形成或假性动脉瘤直接侵蚀肺实质而发生的。
■临床医生必须及早识别此类表现，以便及时诊断和预防并发症。
结论：认为咯血是胸主动脉假性动脉瘤的表现。由于并发症和死亡率高，早期诊断和治疗至关重要。创伤和心血管手术是胸主动脉假性动脉瘤的最常见原因；然而，有时它可能由于动脉粥样硬化而发生。
