Hemoptysis as a first symptom of endoleak after thoracic endovascular aortic repair, which caused aortic rupture and required complex management

Tomasz Synowiec; Marcin Warot; Paweł Burchardt; Łukasz Paschke; Zuzanna Łysiak; Paweł Chęciński

doi:10.5114/wiitm.2011.33453

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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Case report

Hemoptysis as a first symptom of endoleak after thoracic endovascular aortic repair, which caused aortic rupture and required complex management

Tomasz Synowiec, Marcin Warot, Paweł Burchardt, Łukasz Paschke, Zuzanna Łysiak, Paweł Chęciński

Videosurgery Miniinv 2013; 8 (2): 178-181

DOI: https://doi.org/10.5114/wiitm.2011.33453

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AMA

Synowiec T, Warot M, Burchardt P, Paschke Ł, Łysiak Z, Chęciński P. Hemoptysis as a first symptom of endoleak after thoracic endovascular aortic repair, which caused aortic rupture and required complex management. Videosurgery and Other Miniinvasive Techniques. 2013;8(2):178-181. doi:10.5114/wiitm.2011.33453.

APA

Synowiec, T., Warot, M., Burchardt, P., Paschke, Ł., Łysiak, Z.,  & Chęciński, P. (2013). Hemoptysis as a first symptom of endoleak after thoracic endovascular aortic repair, which caused aortic rupture and required complex management. Videosurgery and Other Miniinvasive Techniques, 8(2), 178-181. https://doi.org/10.5114/wiitm.2011.33453

Chicago

Synowiec, Tomasz, Marcin Warot, Paweł Burchardt, Łukasz Paschke, Zuzanna Łysiak,  and Paweł Chęciński. 2013. "Hemoptysis as a first symptom of endoleak after thoracic endovascular aortic repair, which caused aortic rupture and required complex management". Videosurgery and Other Miniinvasive Techniques 8 (2): 178-181. doi:10.5114/wiitm.2011.33453.

Harvard

Synowiec, T., Warot, M., Burchardt, P., Paschke, Ł., Łysiak, Z.,  and Chęciński, P. (2013). Hemoptysis as a first symptom of endoleak after thoracic endovascular aortic repair, which caused aortic rupture and required complex management. Videosurgery and Other Miniinvasive Techniques, 8(2), pp.178-181. https://doi.org/10.5114/wiitm.2011.33453

MLA

Synowiec, Tomasz et al. "Hemoptysis as a first symptom of endoleak after thoracic endovascular aortic repair, which caused aortic rupture and required complex management." Videosurgery and Other Miniinvasive Techniques, vol. 8, no. 2, 2013, pp. 178-181. doi:10.5114/wiitm.2011.33453.

Vancouver

Synowiec T, Warot M, Burchardt P, Paschke Ł, Łysiak Z, Chęciński P. Hemoptysis as a first symptom of endoleak after thoracic endovascular aortic repair, which caused aortic rupture and required complex management. Videosurgery and Other Miniinvasive Techniques. 2013;8(2):178-181. doi:10.5114/wiitm.2011.33453.

Thoracic endovascular aortic repair (TEVAR) has become the most common procedure in the treatment of thoracic aorta aneurysms. However, potential long-term complications of this technique could be life-threatening. Hemoptysis is a common symptom of lung tumor, especially cancer. On the other hand, hemoptysis can also be caused by bronchitis, tuberculosis, mycosis, and trauma. In this case report, we present a patient with hemoptysis and lung tumor suggesting lung cancer, which was a unique symptom of type IA endoleak after TEVAR and led to rupture of the thoracic aneurysm. It was decided to perform next an endovascular procedure due to the severe state of the patient. Next the thoracotomy was performed because drainage of the left pleural cavity was unsuccessful. In the last stage bronchoscopy was needed to remove the thrombus, which occluded the left main bronchi. Successful management has led to the patient’s full recovery. Despite justified popularity of endovascular procedures in the treatment of thoracic aorta aneurysms, we should remember about potential long-term complications. Hemoptysis could be a unique symptom of the endoleak after TEVAR and treatment of such complications could be complex and demanding.

keywords:

Hemoptysis as a first symptom of endoleak after thoracic endovascular aortic repair, which caused aortic rupture and required complex management

Tomasz Synowiec, Marcin Warot, Paweł Burchardt, Łukasz Paschke, Zuzanna Łysiak, Paweł Chęciński

aneurysm, stent graft, thoracic aorta, endovascular repair