array:23 [
  "pii" => "S0300289615310929"
  "issn" => "03002896"
  "doi" => "10.1016/S0300-2896(15)31092-9"
  "estado" => "S300"
  "fechaPublicacion" => "1994-04-01"
  "aid" => "71162"
  "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
  "copyrightAnyo" => "1994"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 1994;30:212-4"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1114
    "formatos" => array:3 [
      "EPUB" => 58
      "HTML" => 513
      "PDF" => 543
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0300289615310930"
    "issn" => "03002896"
    "doi" => "10.1016/S0300-2896(15)31093-0"
    "estado" => "S300"
    "fechaPublicacion" => "1994-04-01"
    "aid" => "71163"
    "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 1994;30:215-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1490
      "formatos" => array:3 [
        "EPUB" => 61
        "HTML" => 839
        "PDF" => 590
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Seudotumor inflamatorio pulmonar. Diagnóstico mediante PAAF"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "215"
          "paginaFinal" => "218"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Inflammatory pseudotumor of the lung. Diagnosis by fine needle aspiration"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:2 [
        0 => array:2 [
          "autoresLista" => "V. Ramos Fernández, M. Prieto Rodríguez, M. Navarro Hervas, A. Camañas Sanz, F.J. Vera-Sempere"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "V."
              "apellidos" => "Ramos Fernández"
            ]
            1 => array:2 [
              "nombre" => "M."
              "apellidos" => "Prieto Rodríguez"
            ]
            2 => array:2 [
              "nombre" => "M."
              "apellidos" => "Navarro Hervas"
            ]
            3 => array:2 [
              "nombre" => "A."
              "apellidos" => "Camañas Sanz"
            ]
            4 => array:2 [
              "nombre" => "F.J."
              "apellidos" => "Vera-Sempere"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "V. Saiz Paches"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "V."
              "apellidos" => "Saiz Paches"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310930?idApp=UINPBA00003Z"
    "url" => "/03002896/0000003000000004/v1_201509151156/S0300289615310930/v1_201509151156/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0300289615310917"
    "issn" => "03002896"
    "doi" => "10.1016/S0300-2896(15)31091-7"
    "estado" => "S300"
    "fechaPublicacion" => "1994-04-01"
    "aid" => "71161"
    "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "rev"
    "cita" => "Arch Bronconeumol. 1994;30:207-11"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1261
      "formatos" => array:3 [
        "EPUB" => 54
        "HTML" => 654
        "PDF" => 553
      ]
    ]
    "es" => array:7 [
      "idiomaDefecto" => true
      "titulo" => "Bronchoalveolar lavage studies of pulmonary surfactant"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "207"
          "paginaFinal" => "211"
        ]
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Patricia L. Haslam"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Patricia L."
              "apellidos" => "Haslam"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310917?idApp=UINPBA00003Z"
    "url" => "/03002896/0000003000000004/v1_201509151156/S0300289615310917/v1_201509151156/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "Hemoptisis masiva en paciente con seudoaneurisma de aorta"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "212"
        "paginaFinal" => "214"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "J.M. González Ruiz, M.A. Sojo, J.A. Royo, M. Barrueco, M. Capurro, F. Gómez"
        "autores" => array:6 [
          0 => array:3 [
            "nombre" => "J.M."
            "apellidos" => "González Ruiz"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "M&#46;A&#46;"
            "apellidos" => "Sojo"
          ]
          2 => array:2 [
            "nombre" => "J&#46;A&#46;"
            "apellidos" => "Royo"
          ]
          3 => array:2 [
            "nombre" => "M&#46;"
            "apellidos" => "Barrueco"
          ]
          4 => array:2 [
            "nombre" => "M&#46;"
            "apellidos" => "Capurro"
          ]
          5 => array:2 [
            "nombre" => "F&#46;"
            "apellidos" => "G&#243;mez"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Neumolog&#237;a&#46; Hospital Cl&#237;nico de Salamanca"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#42;"
            "correspondencia" => "Correspondencia&#58; Arcediano&#46; 5&#46; 37001 Salamanca&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Massive hemoptysis in a patient with false aneurysm of the aorta"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "1993-07-01"
    "fechaAceptado" => "1993-07-29"
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta un caso de seudoaneurisma a&#243;rtico arterioscler&#243;tico no fistulizado ni Asurado en un paciente con hemoptisis masiva&#46; La resecci&#243;n fue resolutiva y la brecha se repar&#243; con parche de Dacr&#243;n&#46; La tomograf&#237;a axial computarizada &#40;TAC&#41; hizo sospechar el diagn&#243;stico de seudoaneurisma de aorta trombosado&#44; que se visualiza en la angiograf&#237;a digital y en la aortograf&#237;a&#46; En la literatura aparecen 89 casos de aneurismas a&#243;rticos tor&#225;cicos no disecantes con hemoptisis objetiv&#225;ndose 72 f&#237;stulas aortobronquiales&#46; S&#243;lo en un caso se describe integridad de la pared aneurism&#225;tica&#44; sin fisura o rotura&#44; a pesar de la hemoptisis&#46; La ausencia de observaci&#243;n de fisura o rotura en nuestro caso puede explicarse por el retraso de 10 d&#237;as desde el &#250;ltimo episodio hemoptoico hasta la resecci&#243;n quir&#250;rgica&#46;</p></span>"
      ]
      "en" => array:1 [
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We present a case of non-fistulated&#44; non-fissured arteriosclorotic pseudoaneurysm of the aorta in a patient with massive hemoptysis&#46; The condition was resolved by resection&#44; with the breach repaired with a Dacron patch&#46; The diagnosis of thrombotic false aneurysm of the aorta was suspected after inspection of the digital angiograph and aortograph obtained by computed axial tomography&#46; A review of the literature revealed 89 cases of non-surgically removable thoracic aortic aneurysm with hemoptysis&#59; 72 of these cases involved aortobronchial f&#237;stulas&#46; In only 1 case was the wall of the aneurysm intact&#44; showing no fissures in spite of hemoptysis&#46; The absence of fissuring or tearing in our patient may be accounted for by the delay of 10 days between the last bout of hemoptysis and surgical resection&#46;</p></span>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:11 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Conservative management of lifethreatening hemoptysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;T&#46; Yang"
                            1 => "H&#46;W&#46; Berger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Mount Sinai J Med"
                        "fecha" => "1978"
                        "volumen" => "45"
                        "paginaInicial" => "329"
                        "paginaFinal" => "333"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Massive hemoptysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;A&#46; Crocco"
                            1 => "J&#46;J&#46; Rooney"
                            2 => "D&#46;S&#46; Fankushen"
                            3 => "R&#46;J&#46; Dibenedetto"
                            4 => "H&#46;A&#46; Lyons"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Intr Med"
                        "fecha" => "1968"
                        "volumen" => "121"
                        "paginaInicial" => "495"
                        "paginaFinal" => "498"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Massive hemoptysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46;A&#46; Conlan"
                            1 => "S&#46;S&#46; Hurwitz"
                            2 => "L&#46; Krige"
                            3 => "N&#46; Nicolau"
                            4 => "R&#46; Pool"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Throac Cardiovasc Surg"
                        "fecha" => "1983"
                        "volumen" => "85"
                        "paginaInicial" => "120"
                        "paginaFinal" => "124"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of massive hemoptysis by combined occlusion of pulmonary and bronchial arteries"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46;P&#46; Bredin"
                            1 => "P&#46;R&#46; Richardson"
                            2 => "T&#46;K&#46;C&#46; King"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1978.117.5.969"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1978"
                        "volumen" => "117"
                        "paginaInicial" => "969"
                        "paginaFinal" => "973"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/350111"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pathogenesis&#44; evaluation&#44; and therapy for massive hemoptysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;B&#46; Thompson"
                            1 => "H&#46; Teschler"
                            2 => "S&#46;I&#46; Rennard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Chest in Medicine"
                        "fecha" => "1992"
                        "volumen" => "13"
                        "paginaInicial" => "69"
                        "paginaFinal" => "82"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "False aneurysm secondary to aortic cannulation rupture into lung with fatal hemoptysis during aortography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; Ramakantan"
                            1 => "P&#46; Shah"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-2007-1020344"
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorac Cardiovasc Surg"
                        "fecha" => "1989"
                        "volumen" => "37"
                        "paginaInicial" => "322"
                        "paginaFinal" => "323"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2588253"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Successful management of a ruptured infected aneurysm of the thoracic aorta&#58; report of a case &#40;abstrae&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H&#46; Gohra"
                            1 => "A&#46; Seyama"
                            2 => "S&#46; Furukawa"
                            3 => "T&#46; Oda"
                            4 => "K&#46; Esato"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Kyobu Geka"
                        "fecha" => "1990"
                        "volumen" => "43"
                        "paginaInicial" => "1&#46;084"
                        "paginaFinal" => "1&#46;087"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2273674"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Successful surgical treatment of ruptured thoracic aortic aneurysm into the lung &#40;abstrac&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "T&#46; Yamada"
                            1 => "M&#46; Ueda"
                            2 => "J&#46; Iemura"
                            3 => "F&#46; Ando"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Kyobu Geka"
                        "fecha" => "1990"
                        "volumen" => "43"
                        "paginaInicial" => "763"
                        "paginaFinal" => "766"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2232402"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nippon Rinsho&#46; Successfull diagnosis and surgery in a case of tubercurous aneurysm of the discending thoracic aorta with major symptoms of hemoptysis and tumorous shadow of the thoracic region &#40;abstrac&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46; Sezaki"
                            1 => "T&#46; Tanji"
                            2 => "I&#46; Saai"
                            3 => "K&#46; Nishiya"
                            4 => "S&#46; Irino"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Nippon Rinsho"
                        "fecha" => "1971"
                        "volumen" => "29"
                        "paginaInicial" => "1&#46;586"
                        "paginaFinal" => "1&#46;593"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5169009"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fistulas between the aorta and tracheobronchial tree"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46;L&#46; MacIntosh"
                            1 => "J&#46;C&#46; Parrott"
                            2 => "H&#46;W&#46; Unruh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1991"
                        "volumen" => "51"
                        "paginaInicial" => "515"
                        "paginaFinal" => "519"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1998444"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Computed tomography of the normal aort and thoracic aneurysms"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46;V&#46; Posniak"
                            1 => "T&#46;C&#46; Demos"
                            2 => "R&#46;E&#46; Marsan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Semin Roentgenol"
                        "fecha" => "1989"
                        "volumen" => "24"
                        "paginaInicial" => "7"
                        "paginaFinal" => "21"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2643833"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/03002896/0000003000000004/v1_201509151156/S0300289615310929/v1_201509151156/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9217"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Notas cl&#237;nicas"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03002896/0000003000000004/v1_201509151156/S0300289615310929/v1_201509151156/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310929?idApp=UINPBA00003Z"
]
Share
Journal Information
Vol. 30. Issue 4.
Pages 212-214 (April 1994)
Share
Share
Download PDF
More article options
Vol. 30. Issue 4.
Pages 212-214 (April 1994)
Full text access
Hemoptisis masiva en paciente con seudoaneurisma de aorta
Massive hemoptysis in a patient with false aneurysm of the aorta
Visits
3389
J.M. González Ruiz*, M.A. Sojo, J.A. Royo, M. Barrueco, M. Capurro, F. Gómez
Servicio de Neumología. Hospital Clínico de Salamanca
This item has received
Article information

Se presenta un caso de seudoaneurisma aórtico arteriosclerótico no fistulizado ni Asurado en un paciente con hemoptisis masiva. La resección fue resolutiva y la brecha se reparó con parche de Dacrón. La tomografía axial computarizada (TAC) hizo sospechar el diagnóstico de seudoaneurisma de aorta trombosado, que se visualiza en la angiografía digital y en la aortografía. En la literatura aparecen 89 casos de aneurismas aórticos torácicos no disecantes con hemoptisis objetivándose 72 fístulas aortobronquiales. Sólo en un caso se describe integridad de la pared aneurismática, sin fisura o rotura, a pesar de la hemoptisis. La ausencia de observación de fisura o rotura en nuestro caso puede explicarse por el retraso de 10 días desde el último episodio hemoptoico hasta la resección quirúrgica.

We present a case of non-fistulated, non-fissured arteriosclorotic pseudoaneurysm of the aorta in a patient with massive hemoptysis. The condition was resolved by resection, with the breach repaired with a Dacron patch. The diagnosis of thrombotic false aneurysm of the aorta was suspected after inspection of the digital angiograph and aortograph obtained by computed axial tomography. A review of the literature revealed 89 cases of non-surgically removable thoracic aortic aneurysm with hemoptysis; 72 of these cases involved aortobronchial fístulas. In only 1 case was the wall of the aneurysm intact, showing no fissures in spite of hemoptysis. The absence of fissuring or tearing in our patient may be accounted for by the delay of 10 days between the last bout of hemoptysis and surgical resection.

Full text is only aviable in PDF
Bibliografía
[1.]
C.T. Yang, H.W. Berger.
Conservative management of lifethreatening hemoptysis.
Mount Sinai J Med, 45 (1978), pp. 329-333
[2.]
J.A. Crocco, J.J. Rooney, D.S. Fankushen, R.J. Dibenedetto, H.A. Lyons.
Massive hemoptysis.
Arch Intr Med, 121 (1968), pp. 495-498
[3.]
A.A. Conlan, S.S. Hurwitz, L. Krige, N. Nicolau, R. Pool.
Massive hemoptysis.
J Throac Cardiovasc Surg, 85 (1983), pp. 120-124
[4.]
C.P. Bredin, P.R. Richardson, T.K.C. King.
Treatment of massive hemoptysis by combined occlusion of pulmonary and bronchial arteries.
Am Rev Respir Dis, 117 (1978), pp. 969-973
[5.]
A.B. Thompson, H. Teschler, S.I. Rennard.
Pathogenesis, evaluation, and therapy for massive hemoptysis.
Clin Chest in Medicine, 13 (1992), pp. 69-82
[6.]
R. Ramakantan, P. Shah.
False aneurysm secondary to aortic cannulation rupture into lung with fatal hemoptysis during aortography.
Thorac Cardiovasc Surg, 37 (1989), pp. 322-323
[7.]
H. Gohra, A. Seyama, S. Furukawa, T. Oda, K. Esato.
Successful management of a ruptured infected aneurysm of the thoracic aorta: report of a case (abstrae).
Kyobu Geka, 43 (1990), pp. 1.084-1.087
[8.]
T. Yamada, M. Ueda, J. Iemura, F. Ando.
Successful surgical treatment of ruptured thoracic aortic aneurysm into the lung (abstrac).
Kyobu Geka, 43 (1990), pp. 763-766
[9.]
T. Sezaki, T. Tanji, I. Saai, K. Nishiya, S. Irino.
Nippon Rinsho. Successfull diagnosis and surgery in a case of tubercurous aneurysm of the discending thoracic aorta with major symptoms of hemoptysis and tumorous shadow of the thoracic region (abstrac).
Nippon Rinsho, 29 (1971), pp. 1.586-1.593
[10.]
E.L. MacIntosh, J.C. Parrott, H.W. Unruh.
Fistulas between the aorta and tracheobronchial tree.
Ann Thorac Surg, 51 (1991), pp. 515-519
[11.]
H.V. Posniak, T.C. Demos, R.E. Marsan.
Computed tomography of the normal aort and thoracic aneurysms.
Semin Roentgenol, 24 (1989), pp. 7-21
Copyright © 1994. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?