1.Disseminated Intravascular Coagulation Associated with Aortic Dissecting Aneurysm.
Sung Ho YOON ; Young Sin CHO ; Chi Young PARK ; Choon Hae CHUNG
The Korean Journal of Internal Medicine 2004;19(2):134-136
Disseminated intravascular coagulation (DIC) is an acquired coagulation disorder that occurs when the normal hemostatic balance is disturbed, primarily by excessive thrombin formation. Moreover, while DIC is a rare complication of aortic dissecting aneurysm, it is also a well-recognized one. We reported a case of DIC associated with aortic dissecting aneurysm in a 55-year-old woman who was transferred from another hospital because of chest pain radiating to her back and thrombocytopenia. Laboratory findings showed DIC with severe thrombocytopenia, and she was diagnosed as having an acute aortic dissection and DIC. After medical treatment on the aortic dissecting aneurysm, her DIC profile recovered.
Aneurysm, Dissecting/*complications/radiography
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Aortic Aneurysm, Thoracic/*complications/radiography
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Disseminated Intravascular Coagulation/*complications/radiography
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Female
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Humans
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Middle Aged
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Tomography, X-Ray Computed
2.Intrathoracic Aneurysm of the Right Subclavian Artery Presenting with Hoarseness: A Case Report.
Hong Gun BIN ; Myoung Sook KIM ; Seok Chan KIM ; Jong Bum KEUN ; Jong Ho LEE ; Seung Soo KIM
Journal of Korean Medical Science 2005;20(4):674-676
Intrathoracic segment of the subclavian artery is an unusual location for peripheral arterial aneurysms. They are normally caused by atherosclerosis, medial degeneration, trauma, and infection. We report a case of a patient with right subclavian artery aneurysm presenting with hoarseness. Chest radiograph demonstrated a superior mediastinal mass. Laryngoscopy showed a fixed right vocal cord. By chest computed tomography, magnetic resonance imaging, and angiography, preoperative diagnosis was established as a saccular aneurysm with afferent loop and efferent loop. Patient underwent complete resection of the aneurysm followed by endto-end anastomosis via median sternotomy. Postoperative pathology was consistent with an atherosclerotic aneurysm filled with thrombus. After surgical operation, hoarseness is still continued.
Aged
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Aortic Aneurysm, Thoracic/complications/*pathology
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Female
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Hoarseness/etiology/*pathology
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Humans
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Magnetic Resonance Imaging/methods
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Subclavian Artery/*pathology/radiography
3.Hybrid Endovascular Repair of Thoracic Aortic Aneurysm in a Patient with Behcet's Disease Following Right to Left Carotid-carotid Bypass Grafting.
Soonchang HONG ; Han Ki PARK ; Won Heum SHIM ; Young Nam YOUN
Journal of Korean Medical Science 2011;26(3):444-446
Endovascular repair of inflammatory aortic aneurysms has been reported as an alternative to open surgical treatment. In selective cases, adjunctive bypass surgery may be required to provide an adequate landing zone. We report a case of endovascular repair of an inflammatory aortic aneurysm in a patient with Behcet's disease using a carotid-carotid bypass graft to provide an adequate landing zone. A 45-yr-old man with a voice change was referred to our hospital with the diagnosis of saccular aneurysm of the distal aortic arch resulting from vasculitis. Computed tomography showed a thoracic aortic aneurysm with thrombosis. Right to left carotid-carotid bypass grafting was performed. After 8 days, the patient underwent an endovascular stent graft placement distal to the origin of the innominate artery. The patient was discharged with medication and without postoperative complications after 5 days. Hybrid endovascular treatment may be suitable a complementary modality for repairing inflammatory aortic aneurysms.
Aortic Aneurysm, Thoracic/complications/radiography/*surgery
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Behcet Syndrome/*complications/surgery
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Blood Vessel Prosthesis Implantation/*methods
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Carotid Arteries/physiopathology/*surgery
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Coronary Artery Bypass
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Endovascular Procedures
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Humans
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Male
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Middle Aged
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Stents
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Thrombosis/complications
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Tomography Scanners, X-Ray Computed
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Vasculitis/complications