Title: Syphilitic aortic arch aneurysm involving left lung- surgical complication and its management

Authors: Girish Gowda S L*, MCh, Seetharama Bhat P S, MCh, C N Manjunath, DM

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.03

Abstract

The aortic arch aneurysms presenting with symptoms only related to involvement of lung is not very uncommon. We present a case of syphilitic aortic arch aneurysm presenting with history of haemoptysis due to involvement of upper lobe of left lung. The perioperative management of air leak and bleeding from the lung is discussed in this case report.

Keywords- aortic arch aneurysm, Syphilitic aortic aneurysm, haemoptysis, air leak.

References

  1. Dzan VJ, Creager MA. Diseases of aorta. In: Kasper DL, Braunwald E, Fauci A, HauserS, Longo D, Jameson JL, editors Harrison’s Principles of Internal Medicine; 16th edn. New York: McGraw-Hill; 2005:pp1481-5.
  2. Fraser RS, Muller NL, Colman N, Pare PD. Mediastinal diseases. In: Synopsis of Diseases of Chest; 3rd edn. 2005; pp 879-83.
  3. Bidwell JL, Pachner RW. Hemoptysis: diagnosis and management. Am Fam Physician2005;72:1253–1260.
  4. Sarmishtha De, Sajal De. Silent rupture of aneurysm of arch of aorta mimicking malignancy. BMJ Case Reports 2009; doi:10.1136/bcr.10.2008.1059
  5. Chockalingam A, Gnanavelu G, Alagesan R. Massive aortic aneurysm presenting aschest wall swelling. Heart 2004;90:292.
  6. Bappu NJ, Chakraborthy B, Bisoi A. A massive pulsatile chest wall mass. NZ Med J2006;119:1229-73.
  7. Nakai M, Shimamoto M, Yamasaki F, Fujita S, Masumoto H, Yamada T, Nakajima D,Hamaji M. Surgical treatment of thoracic aortic aneurysm in patients with concomitant coronary artery disease. Jpn J Thorac Cardiovasc Surg 2005;53:84–87.
  8. Shimizu H, Ueda T, Kashima I, Mitsumaru A, Tsutsumi K, Enoki C, Iino Y, Koizumi K,Kawada S. Surgical treatment for a ruptured thoracic aortic aneurysm. Jpn J Thora Cardiovasc Surg 2001;49:62–66.

Corresponding Author

Dr Girish Gowda S L

Department of Cardiothoracic and Vascular Surgery,

Sri Jayadeva Institute of Cardiovascular Sciences and Research,

Bangalore, Karnataka, pin-560069, INDIA

Contact number- +919449046932, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.