Tabaei Ali Sadeghpour, Jalali Amirhosein, Asadian Sanaz, Shafe Omid, Tabaei Sepehr Sadeghpour, Toloueitabar Yaser
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, Iran.
School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Surg Case Rep. 2020;77:595-598. doi: 10.1016/j.ijscr.2020.11.058. Epub 2020 Nov 16.
Thoracic aortic aneurysm (TAA) is a cardiovascular disorder, associated with high rates of mortality and morbidity. Here, we report a case of massive hemoptysis in a patient with TAA.
A 49-year-old man presented with massive hemoptysis and true aneurysm of the aortic arch from the origin of the left common carotid artery to the first segment of the descending aorta. We adopted hybrid method for TAA repair. The patient remained in good condition after hybrid management.
Although most cases of TAA are asymptomatic, it can present with a wide range of symptoms and complications. Chest pain is the most important symptom of TAA, and its sudden occurrence is a sign of rapid aneurysm expansion, dissection, or rupture. This was a rare case of TAA, as hemoptysis is not a common symptom of TAA.
This rare case was managed using the hybrid method which resulted in resolution of hemoptysis without any complications.
胸主动脉瘤（TAA）是一种心血管疾病，死亡率和发病率都很高。在此，我们报告一例TAA患者出现大量咯血的病例。
一名49岁男性因大量咯血就诊，其主动脉弓存在真性动脉瘤，起自左颈总动脉起始处至降主动脉第一段。我们采用杂交手术方法修复TAA。杂交手术后患者状况良好。
虽然大多数TAA病例无症状，但它可能出现多种症状和并发症。胸痛是TAA最重要的症状，胸痛突然出现是动脉瘤快速扩张、夹层或破裂的征象。这是一例罕见的TAA病例，因为咯血并非TAA的常见症状。
该罕见病例采用杂交手术方法进行治疗，咯血症状得以缓解，且未出现任何并发症。
