Case Report
Volume 7 Issue 9 - 2018
Thoracic Aortic Ulcer: A Case Report-Differential Diagnosis for Hemoptysis
Francisco de Assis Cury1, Celso Murilo Nálio Matias de Faria2, Henrique Nietmann2*, Isaac de Faria Rodrigues3 and Pacetti Marie4
1Chief Discipline, FAMERP Thoracic Surgery, Brazil
2Thoracic Surgeon Assistant, FAMERP (Faculty of Medicine of São José do Rio Preto), Brazil
3Resident Thoracic Surgery, FAMERP (Faculty of Medicine of São José do Rio Preto), Brazil
4Academic, FAMERP (Faculty of Medicine of São José do Rio Preto), Brazil
*Corresponding Author: Henrique Nietmann, Thoracic Surgeon Assistant, FAMERP (Faculty of Medicine of São José do Rio Preto), Brazil.
Received: June 26, 2018; Published: August 20, 2018
Citation: Henrique Nietmann., et al. “Thoracic Aortic Ulcer: A Case Report-Differential Diagnosis for Hemoptysis”. EC Pulmonology and Respiratory Medicine 7.9 (2018): 635-639.
Abstract
Hemoptysis is the bleeding from the lower airways and may vary from rays of live blood in the drain to large volumes of blood. Proper diagnosis and treatment and at the correct time diminish your morbidity-mortality. This work presents a rare case of penetrating thoracic aortic ulcer (UPA), which was the main clinical manifestation of hemoptysis, and the Protocol of our service for the massive bleeding of the airways. Case of an elderly patient, 73 years, with multiple comorbidities, Admitted In the emergency with asuggestive frame of hematemesis, evolving with acute respiratory failure. After the stabilisation of the frame, complementary examinations were carried out which identified the airways as probable site of bleeding. The evaluation of thoracic surgery, With Bronchoscopy and Angiotomography of Chest, allowed The diagnosis of UPA, being then performed joint therapeutic complementation with Vascular surgery with Arteriogram and endovascular prosthesis. After the procedure, the patient followed for recovery in intensive care unit (ICU) leaving the hospital after five days and is currently in ambulatory monitoring. The UPA must be Remembered As a rare cause of hemoptysis. As component of acute aortic syndrome (SAA); It makes differential diagnosis with intramural hematoma and aortic dissection. The Protocol of our service Before the Hemoptysis includes hemodynamic monitoring, conduct of bronchoscopy and clinical stabilization in UTI to allow treatment Definitive, be it surgical or hemodynamic. The Arteriogram has its character of invasive examination, but it has diagnostic and therapeutic importance.
Keywords: Hemoptysis; Penetrating Ulcer of the Aorta; Bronchoscopy; Arteriogram
Copyright: © 2018 Henrique Nietmann., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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