Abstract
The rupture of an aneurysm of the descending thoracic aorta into the right thoracic cavity is a comparatively rare event, and it is very difficult to establish a diagnosis immediately and rescue such patients. We describe herein the successful surgical treatment of a patient with this life-threatening emergency by initiating immediate cardiopulmonary bypass. It is mandatory to drain the right thoracic bleeding through a left thoracotomy without delay to release the tension hemothorax. Furthermore, it is necessary to evacuate the right thoracic hematoma through a right thoracotomy, because complete removal of a huge hematoma through a left thoracotomy cannot be effectively achieved.
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Ootaki, Y., Okada, M., Yamashita, C. et al. Tension hemothorax caused by a ruptured aneurysm of the descending thoracic aorta: Report of a case. Surg Today 30, 558–560 (2000). https://doi.org/10.1007/s005950070129
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DOI: https://doi.org/10.1007/s005950070129