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Case-report: endovascular treatment of aortic pseudo-aneurysm caused by Fishbone.

Wang W, Liu X, Lu M - J Cardiothorac Surg (2015)

Bottom Line: Because of its relative rarity, we are far from making any conclusion regarding the natural history and appropriate therapeutic strategy for this condition.After treatment, the therapeutic effect was assessed by measuring the size of trauma.The patient recovered well after stent grafts treatment, as her trauma was minimal.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, the First Affiliated Hospital of Guangzhou Medical University, No.151 Yanjiang West Road, Guangzhou, 510120, China. wangwei20148@126.com.

ABSTRACT
Aortic pseudo-aneurysm (APA) is a rare disease in clinic. Because of its relative rarity, we are far from making any conclusion regarding the natural history and appropriate therapeutic strategy for this condition. This study is to investigate the treatment effect of interventional therapy in aortic pseudo-aneurysm. A woman of 68 years old diagnosed with APA caused by fishbone was treated with stent grafts. After treatment, the therapeutic effect was assessed by measuring the size of trauma. The patient recovered well after stent grafts treatment, as her trauma was minimal. However, some complications of intravascular interventional treatment were observed. Compared with conventional surgery, interventional therapy of intravascular stent grafts has its merits. Therefore, this strategy was worthy to apply in the treatment of aortic pseudo-aneurysm.

No MeSH data available.


Related in: MedlinePlus

Radiological examination. One oval-like soft tissue density mass on aortic arch in upper right mediastinum
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Fig1: Radiological examination. One oval-like soft tissue density mass on aortic arch in upper right mediastinum

Mentions: The patient was a woman of 68-year-old, and she was admitted in our hospital on 1st, August, 2011 due to pain in chest and back lasting for over 1 month. One month ago, the patient mistakenly swallowed down fishbone, and then felt pain and discomfort in throat, chest and back, and took vinegar later. On the second day, she visited Department of Otorhinolaryngology in local hospital. The fishbone was not seen after examination and pain in chest and back was not alleviated. The pain was dull and nonradioactive with unclear position, not aggravating significantly with change of body posture. Accompanied with little cough, expectoration, she had no hemoptysis, but palpitation, chest distress after exercises. The patient took Chinese herbs (unknown), but seeing little improvement and recurrent episodes of above-mentioned symptoms. On 28th, July, she was treated at Dongguan Hengli Hospital. A chest CT taken as part of a health examination showed that occupying besides upper left mediastinum; infection in middle lobe of right lung and left lingular lobe; and moderate volume of pleural effusion around both lungs. About 60 mL of yellow effusion was drained out with left pleural effusion drainage therapy. She had a history of hepatitis B for 6 years and two thyroidectomy operations for goiter in 2009 as diagnosed with thyroid adenoma. The enhancing 3-dimensional reconstruction of lung thin-layer CT scanning was shown in Figs. 1 & 2. One oval-like soft tissue density mass of 2.9 × 4.3 × 2.6 cm was detected on aortic arch in upper right mediastinum with unclear scanning border, which is suspected to be shaping of pseudoaneurysm on aortic arch. Moreover, organizing inflammation was observed around tumor and in left upper lobe; small amount of pleural effusion and nodular goiter were in two sides. The patient have experienced cardinal red hemoptysis (about 50 ml), and the symptom was alleviated after expectant treatment of hemostasis.Fig. 1


Case-report: endovascular treatment of aortic pseudo-aneurysm caused by Fishbone.

Wang W, Liu X, Lu M - J Cardiothorac Surg (2015)

Radiological examination. One oval-like soft tissue density mass on aortic arch in upper right mediastinum
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4494703&req=5

Fig1: Radiological examination. One oval-like soft tissue density mass on aortic arch in upper right mediastinum
Mentions: The patient was a woman of 68-year-old, and she was admitted in our hospital on 1st, August, 2011 due to pain in chest and back lasting for over 1 month. One month ago, the patient mistakenly swallowed down fishbone, and then felt pain and discomfort in throat, chest and back, and took vinegar later. On the second day, she visited Department of Otorhinolaryngology in local hospital. The fishbone was not seen after examination and pain in chest and back was not alleviated. The pain was dull and nonradioactive with unclear position, not aggravating significantly with change of body posture. Accompanied with little cough, expectoration, she had no hemoptysis, but palpitation, chest distress after exercises. The patient took Chinese herbs (unknown), but seeing little improvement and recurrent episodes of above-mentioned symptoms. On 28th, July, she was treated at Dongguan Hengli Hospital. A chest CT taken as part of a health examination showed that occupying besides upper left mediastinum; infection in middle lobe of right lung and left lingular lobe; and moderate volume of pleural effusion around both lungs. About 60 mL of yellow effusion was drained out with left pleural effusion drainage therapy. She had a history of hepatitis B for 6 years and two thyroidectomy operations for goiter in 2009 as diagnosed with thyroid adenoma. The enhancing 3-dimensional reconstruction of lung thin-layer CT scanning was shown in Figs. 1 & 2. One oval-like soft tissue density mass of 2.9 × 4.3 × 2.6 cm was detected on aortic arch in upper right mediastinum with unclear scanning border, which is suspected to be shaping of pseudoaneurysm on aortic arch. Moreover, organizing inflammation was observed around tumor and in left upper lobe; small amount of pleural effusion and nodular goiter were in two sides. The patient have experienced cardinal red hemoptysis (about 50 ml), and the symptom was alleviated after expectant treatment of hemostasis.Fig. 1

Bottom Line: Because of its relative rarity, we are far from making any conclusion regarding the natural history and appropriate therapeutic strategy for this condition.After treatment, the therapeutic effect was assessed by measuring the size of trauma.The patient recovered well after stent grafts treatment, as her trauma was minimal.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, the First Affiliated Hospital of Guangzhou Medical University, No.151 Yanjiang West Road, Guangzhou, 510120, China. wangwei20148@126.com.

ABSTRACT
Aortic pseudo-aneurysm (APA) is a rare disease in clinic. Because of its relative rarity, we are far from making any conclusion regarding the natural history and appropriate therapeutic strategy for this condition. This study is to investigate the treatment effect of interventional therapy in aortic pseudo-aneurysm. A woman of 68 years old diagnosed with APA caused by fishbone was treated with stent grafts. After treatment, the therapeutic effect was assessed by measuring the size of trauma. The patient recovered well after stent grafts treatment, as her trauma was minimal. However, some complications of intravascular interventional treatment were observed. Compared with conventional surgery, interventional therapy of intravascular stent grafts has its merits. Therefore, this strategy was worthy to apply in the treatment of aortic pseudo-aneurysm.

No MeSH data available.


Related in: MedlinePlus