Department of Internal Medicine, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland 44195, OH, USA.
Department of Cardiovascular Medicine, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland 44195, OH, USA.
J Interv Cardiol. 2022 Feb 11;2022:9809289. doi: 10.1155/2022/9809289. eCollection 2022.
Aortic pseudoaneurysms can commonly be caused by previous thoracic surgery, trauma, and infection, quickly becoming life-threatening if ruptured. This pathology is typically asymptomatic and incidentally found on imaging; however, few cases have outlined hemoptysis as a presenting symptom for aortic pseudoaneurysms. Traditionally, management of these patients included surgical correction; however, percutaneous approaches have emerged as a safe alternative, helping to reduce the risk of morbidity and mortality associated with surgical correction. This report seeks to describe a case in which hemoptysis was the symptom unveiling the finding of a thoracic ascending aortic pseudoaneurysm and the use of an Amplatzer atrial septal defect (ASD) occlusion device as a viable option to safely resolve the disease process.
主动脉假性动脉瘤通常可由先前的胸部手术、外伤和感染引起，如果破裂，很快就会危及生命。这种病理通常是无症状的，在影像学检查中偶然发现；然而，仅有少数病例描述了咯血是主动脉假性动脉瘤的表现症状。传统上，这些患者的治疗包括手术矫正；然而，经皮方法已成为一种安全的替代方法，有助于降低与手术矫正相关的发病率和死亡率。本报告旨在描述一例咯血是揭示胸升主动脉假性动脉瘤发现的症状，并使用 Amplatzer 房间隔缺损（ASD）封堵器作为安全解决疾病过程的可行选择。
