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04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
119
[Ruptured Ascending Aortic Aneurysm:Report of a Case]
1Department of Cardiovascular Surgery, Shizuoka Medical Center, Shizuoka, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|July 1, 2025
Summary
A ruptured ascending thoracic aortic aneurysm (ATAA) in a 62-year-old man led to emergency surgery after initial observation for pericardial effusion. The patient recovered well following aortic root and ascending aorta replacement.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Diagnostic Imaging
Background:
- Ascending thoracic aortic aneurysms (ATAA) can present with life-threatening complications.
- Pericardial effusion can be an indicator of aortic pathology, including rupture.
- Early diagnosis and intervention are crucial for managing ATAA.
Purpose of the Study:
- To report a case of a ruptured ATAA presenting with pericardial effusion.
- To highlight the diagnostic and management challenges of ATAA rupture.
- To emphasize the importance of timely surgical intervention in cases of aortic aneurysm rupture.
Main Methods:
- Contrast-enhanced computed tomography (CT) for initial diagnosis of ATAA and pericardial effusion.
- Pericardiocentesis for drainage of bloody fluid, indicating rupture.
- Emergency surgical intervention including aortic root and ascending aorta replacement.
Main Results:
- A 50-mm ATAA was initially identified with minimal pericardial effusion.
- Progressive increase in pericardial effusion led to diagnosis of rupture.
- Successful emergency surgery was performed with aortic replacement.
- Patient discharged on postoperative day 29 with an uneventful recovery.
Conclusions:
- Ruptured ATAA can present insidiously with increasing pericardial effusion.
- Prompt surgical management is essential for survival in cases of ruptured ATAA.
- Multimodality imaging and pericardiocentesis play vital roles in diagnosis and management.
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