A rare case of leaking thoracic aortic aneurysm in a patient with massive pulmonary embolism

Springer Science and Business Media LLC - Tập 25 Số 1 - Trang 47-50 - 2013
Shabib Al-Zuabi1, Alexander P. Varkey1, Safia F. Abdalmaksoud2, Hadeel Al‐Othman1, Ibrahim Al-Rashdan3
1Department of Internal Medicine, Al-Sabah Hospital, Safat, Kuwait
2Department of Radiology, Al-Sabah Hospital, Safat, Kuwait
3Department of Department of Interventional Cardiology, Chest Hospital, Kuwait

Tóm tắt

AbstractThe aim of this study was to report a rare case of a leaking thoracic aorta aneurysm in a female patient with massive pulmonary embolism. A 70-year-old woman with hypertension who had suffered a cerebral vascular accident 2 years ago presented with urinary tract infection, dehydration, and anemia. While in hospital, she was diagnosed with pulmonary embolism, and anticoagulation therapy was started using heparin. As the tachycardia persisted with a further drop in hemoglobin levels, and because a new left-sided pleural effusion was revealed on chest radiograph, a chest CT with a CT angiography was performed. It revealed a large leaking aneurysm of the descending thoracic aorta. This was treated by inserting an endovascular stent. This rare case shows the importance of investigating for other serious coexistent causes of tachycardia in patients with pulmonary embolism during treatment.

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Tài liệu tham khảo

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