CASE REPORT
Year : 2021  |  Volume : 8  |  Issue : 3  |  Page : 277-279

Multiple penetrating descending thoracic aortic ulcers and intramural hematoma with a right massive hemothorax in a young male


1 Department of Cardiothoracic Surgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India
2 Department of Cardiology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India

Correspondence Address:
Sreekanth Yerram
Department of Cardiology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijves.ijves_119_20

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Penetrating aortic ulcer and intramural hematoma is one of the causes of acute aortic syndromes and can present as an emergency. It is common in older individuals with multiple risk factors and rarely presents as hemothorax on the right side. We present a young male without significant risk factors who presented acutely with the right massive hemothorax. On evaluation, he had multiple ulcers in the descending thoracic aorta, which was successfully managed with a stent graft. This case illustrates the rarity of presentation at a young age and rarity of manifestation with the right hemothorax.


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