Document Detail

Should patients with contained rupture of a descending aortic aneurysm only receive unilateral artificial ventilation? Case report of a death during an operation.
MedLine Citation:
PMID:  18238875     Owner:  NLM     Status:  MEDLINE    
The danger of thoracic aneurysm rupture increases with the size of the aneurysm. We report on a 59-year-old man who developed a secondary aneurysm of the descending thoracic aorta within the residual type A dissection that was approximately 9-cm long and in which a contained rupture occurred. The patient died as a result of a massive hemorrhage during the anesthesiological preparation for emergency operation a short time after double-lumen intubation and commencement of controlled artificial ventilation. Autopsy revealed an atelectatic lower pulmonary lobe that had partially fused with the aneurysm. The fusion may have been so substantial that it may have acutely eliminated the covering of the contained rupture during artificial ventilation.
Hans-Stefan Hofmann; Heike Kroll; Christian Kunze; Harry Bromber
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  42     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2008 Feb-Mar
Date Detail:
Created Date:  2008-02-01     Completed Date:  2008-05-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  82-4     Citation Subset:  IM    
Department of Cardiothoracic Surgery, Martin Luther University, Halle-Wittenberg, Halle, Germany.
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MeSH Terms
Aneurysm, Ruptured / radiography,  surgery*
Aortic Aneurysm, Thoracic / radiography,  surgery*
Diagnosis, Differential
Fatal Outcome
Middle Aged
Respiration, Artificial / adverse effects*
Tomography, X-Ray Computed

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