Limits...
Aortic Rupture

Langton RL - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Aortic Rupture

History: This is a 60 year old man with a history of CAD s/p 2 vessel CABG and 3 stents, AAA s/p repair, ascending aortic dissection s/p repair, and 44 pack years of tobacco use who presented to ED complaining of sudden onset, non-exertional, right sided heart pain that radiated down his right arm.

Findings: Portable CXR: wires indicating a previous sternotomy; widening of the mediastinum CT CAP w/ IV contrast: 1. large ascending aortic aneurysm w/ active extravasation of blood presumably from disruption of the graft material for the prior repair; the blood appears heterogenous indicating a mixing of the blood, 2. this is resulting in a large hemothorax extending into the mediastinal, pericardial, and R subpleural spaces, 3. there is displacement of heart and compression of the R heart and narrowing of the SVC.

Ddx: Aortic Rupture Aortic Dissection Aortic Hematoma Aortic Ulcer Aortic Aneurysm

Dxhow: Autopsy

Exam: PE: Gen: NAD, AOx4 HEENT: NCAT, PERRL, MMM, no JVD Lungs: CTA b/l, no wheezes or crackles CV: RRR w/o m/r/g Abd: ND, normal bowel sounds, soft, no TTP Neuro: grossly intact Ext: no clubbing, cynosis, or edema Labs: CBC 16.3>13.1/38.7<225 Chem 7: 139/4.1/105/25/19/1.0<139 CK: 70, CK-MB: 2.8, TnT: 0.04

No MeSH data available.


1. a large ascending aortic aneurysm w/ active extravasation of blood presumably from disruption of the graft material for the prior repair; the blood appears heterogenous indicating a mixing of the blood, 2. this is resulting in a large hemothorax extending into the mediastinal, pericardial, and R subpleural spaces, 3. there is displacement of heart and compression of the R heart and narrowing of the SVC.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1569&req=5

MPX1569_synpic52429: 1. a large ascending aortic aneurysm w/ active extravasation of blood presumably from disruption of the graft material for the prior repair; the blood appears heterogenous indicating a mixing of the blood, 2. this is resulting in a large hemothorax extending into the mediastinal, pericardial, and R subpleural spaces, 3. there is displacement of heart and compression of the R heart and narrowing of the SVC.


Aortic Rupture

Langton RL - MedPix (2010)

1. a large ascending aortic aneurysm w/ active extravasation of blood presumably from disruption of the graft material for the prior repair; the blood appears heterogenous indicating a mixing of the blood, 2. this is resulting in a large hemothorax extending into the mediastinal, pericardial, and R subpleural spaces, 3. there is displacement of heart and compression of the R heart and narrowing of the SVC.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1569&req=5

MPX1569_synpic52429: 1. a large ascending aortic aneurysm w/ active extravasation of blood presumably from disruption of the graft material for the prior repair; the blood appears heterogenous indicating a mixing of the blood, 2. this is resulting in a large hemothorax extending into the mediastinal, pericardial, and R subpleural spaces, 3. there is displacement of heart and compression of the R heart and narrowing of the SVC.

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Aortic Rupture

History: This is a 60 year old man with a history of CAD s/p 2 vessel CABG and 3 stents, AAA s/p repair, ascending aortic dissection s/p repair, and 44 pack years of tobacco use who presented to ED complaining of sudden onset, non-exertional, right sided heart pain that radiated down his right arm.

Findings: Portable CXR: wires indicating a previous sternotomy; widening of the mediastinum CT CAP w/ IV contrast: 1. large ascending aortic aneurysm w/ active extravasation of blood presumably from disruption of the graft material for the prior repair; the blood appears heterogenous indicating a mixing of the blood, 2. this is resulting in a large hemothorax extending into the mediastinal, pericardial, and R subpleural spaces, 3. there is displacement of heart and compression of the R heart and narrowing of the SVC.

Ddx: Aortic Rupture Aortic Dissection Aortic Hematoma Aortic Ulcer Aortic Aneurysm

Dxhow: Autopsy

Exam: PE: Gen: NAD, AOx4 HEENT: NCAT, PERRL, MMM, no JVD Lungs: CTA b/l, no wheezes or crackles CV: RRR w/o m/r/g Abd: ND, normal bowel sounds, soft, no TTP Neuro: grossly intact Ext: no clubbing, cynosis, or edema Labs: CBC 16.3>13.1/38.7<225 Chem 7: 139/4.1/105/25/19/1.0<139 CK: 70, CK-MB: 2.8, TnT: 0.04

No MeSH data available.