Should Patients With Contained Rupture of a Descending Aortic Aneurysm Only Receive Unilateral Artificial Ventilation? Case Report of a Death During an Operation | Zendy

HansStefan Hofmann | Zendy; H. Kroll | Zendy; Christian Kunze | Zendy; Harry Bromber | Zendy

Open Access

Should Patients With Contained Rupture of a Descending Aortic Aneurysm Only Receive Unilateral Artificial Ventilation? Case Report of a Death During an Operation

Author(s) -

HansStefan Hofmann,

H. Kroll,

Christian Kunze,

Harry Bromber

Publication year - 2008

Publication title -

vascular and endovascular surgery/vascular and endovascular surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.46

H-Index - 45

eISSN - 1938-9116

pISSN - 1538-5744

DOI - 10.1177/1538574407306792

Subject(s) - medicine , aneurysm , descending aorta , surgery , lumen (anatomy) , intubation , thoracic aortic aneurysm , dissection (medical) , autopsy , thoracic aorta , artificial ventilation , aortic rupture , ventilation (architecture) , aortic aneurysm , aorta , radiology , lung , respiratory disease , mechanical engineering , engineering

The danger of thoracic aneurysm rupture increases with the size of the aneurysm. We report on a 59-year-old man who developed a secondary aneurysm of the descending thoracic aorta within the residual type A dissection that was approximately 9-cm long and in which a contained rupture occurred. The patient died as a result of a massive hemorrhage during the anesthesiological preparation for emergency operation a short time after double-lumen intubation and commencement of controlled artificial ventilation. Autopsy revealed an atelectatic lower pulmonary lobe that had partially fused with the aneurysm. The fusion may have been so substantial that it may have acutely eliminated the covering of the contained rupture during artificial ventilation.

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