Endovascular treatment for ruptured aortic aneurysm complicating hemoptysis

Anh Vo Tuan, Anh Pham Minh, Nguyen Nguyen Thoi Hai, Phuoc Dang Ha Huu

Nội dung chính của bài viết

Tóm tắt

Introduction: Aortic disease has a high mortality rate, especially when complications include - hemoptysis. Treatment includes surgery and endovascular intervention with its own advantages and disadvantages. Endovascular intervention is associated with good early and medium-term outcomes.


Subjects – Methods: We report 03 cases of hemoptysis due to ruptured thoracic aortic aneurysm who underwent endovascular intervention at Dong Nai General Hospital.


Result: In all three cases, endovascular grafts were placed in the descending thoracic aorta, the number of grafts used was 1, the time to stop hemoptysis was 4-5 days, the hospital stay was from 6 to 8 days. No intravascular fistula was noted in the three patients. There were no cases of premature death, renal failure, prolonged mechanical ventilation and other major cardiovascular events.


Conclusion: The implementation of this technique at regional hospitals helps to improve prognosis, reduce mortality and complications, and contributes to improving the quality of hospital expertise.  (consider: contributes to improving the quality of hospital expertise.)

Chi tiết bài viết

Tài liệu tham khảo

1. Erbel, R., et al., 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J, 2014. 35(41): p. 2873-926.
2. Inam, H., et al., Hemoptysis secondary to rupture of infected aortic aneurysm- a case report. J Cardiothorac Surg, 2019. 14(1): p. 144.
3. Parodi, J.C., J.C. Palmaz, and H.D. Barone, Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg, 1991. 5(6): p. 491-9.
4. Cheng, D., et al., Endovascular aortic repair versus open surgical repair for descending thoracic aortic disease a systematic review and meta-analysis of comparative studies. J Am Coll Cardiol, 2010. 55(10): p. 986-1001.
5. Parmer, S.S., et al., Endoleaks after endovascular repair of thoracic aortic aneurysms. J Vasc Surg, 2006. 44(3): p. 447-52.
6. Jonker, F.H., et al., Open surgery versus endovascular repair of ruptured thoracic aortic aneurysms. J Vasc Surg, 2011. 53(5): p. 1210-6.
7. Galvis, C., et al., Acute Hemoptysis Redefined: A Deadly Presentation. Case Rep Pulmonol, 2018. 2018: p. 2123140.