hemoptise e hemotórax como apresentação de ruptura de aorta torácica hemoptysis and hemothorax as presentation of thoracic aortic rupture

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ID: 235384
2009
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Abstract
Dissecção da aorta torácica é doença de grande mortalidade em sua fase inicial, mas pode, em alguns casos, se cronificar. Relatamos caso de paciente com dissecção crônica de aorta tipo B (Stanford), admitido na Emergência com confusão mental, dispnéia e relato de hemoptise importante. O eletrocardiograma mostrava alterações inespecíficas e a radiografia de tórax revelou opacificação do hemitórax esquerdo. O ecocardiograma transtorácico não evidenciou dissecção aórtica, mas demonstrou imagem compatível com hemotórax, ocasionando a suspeita de ruptura da aorta. O paciente evoluiu em colapso cardiovascular e óbito. Este caso descreve duas apresentações atípicas da dissecção de aorta: hemotórax e hemoptise importante.
Thoracic aortic dissection is a disease of great mortality in its initial phase, but in some cases it can assume chronic course. We report a case of a patient with Stanford type A1 aortic dissection, admitted with mental confusion, dyspnea and event of severe hemoptysis. Electrocardiogram showed unspecific change and chest X-ray revealed opacification of the left hemithorax. Transthoracic echocardiogram did not show aortic dissection, but showed image similar to hemithorax leading to the suspicion of aortic rupture. The patient developed cardiovascular collapse and evolved to death. This case describes two unusual presentations of aortic dissection: hemothorax and severe hemoptysis.
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Authors ;Márcio Silva Miguel Lima;Marcelo Luiz Campos Vieira
Journal 2017 international conference on information technology systems and innovation, icitsi 2017 - proceedings
Year 2009
DOI
10.1590/S0102-76382009000200024
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382009000200024
Keywords
aneurysm aortic aneurysm fistula echocardiographysurgerydiseases of the circulatory (cardiovascular) system

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