Ahmet Barış Durukan, Hasan Alper Gürbüz, Cem Yorgancıoğlu

Bir Hemodiyaliz Hastasında Endovasküler Greftleme ile Tedavi Edilen Spontan Torasik Aort Yalancı Anevrizması

Anahtar Kelimeler:

Aort, torasik; anevrizma, yalancı; böbrek yetmezliği; endovasküler prosedürler

Spontaneous Thoracic Aortic Pseudoaneurysm Treated with Endovascular Grafting in a Hemodialysis Patient

limited with specific anatomical considerations and complications. Particularly in high risk patients, endovascular approach offers lower morbidity and mortality(2,3). A 51 year-old male patient with renal failure experienced dyspnea during dialysis. Chest radiogram revealed massive left-sided pleural effusion. Thoracic computerized tomography documented pseudoaneurysm in thoracic aorta distal to left subclavian artery (48.5x29.1 mm) (Figures 1, 2). There was no history of trauma or percutaneous/ surgical intervention; possibly the atherosclerotic plaque weakened the wall and lead to aortic rupture during a hypertensive attack and pseudoaneurysm developed. Successful endovascular treatment was performed (Figure 3). Left hemithorax was tube-drained after the procedure (defibrinated blood), because preceding intervention could decompress the pseudoaneurysm sac and lead to rupture. The postoperative course was uneventful

Keywords:

Aorta, thoracic; aneurysm, false; renal insufficiency; endovascular procedures,

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Figure 2. Three dimensional reconstruction
of thoracic aorta clearly demonstrated the
pseudoaneurysm formation (arrow).
Figure 3. Intraoperative angiography showed
successful exclusion of the pseudoaneurysm sac by
endovascular stent grafting.