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J Thorac Cardiovasc Surg 2007;133:1643-1644
© 2007 The American Association for Thoracic Surgery

Brief Communication

Bleeding sarcoma of the aorta mimicking a symptomatic aneurysm

^a Department of Cardiothoracic Surgery, St Antonius Hospital, Nieuwegein, The Netherlands
^b Department of Radiology, St Antonius Hospital, Nieuwegein, The Netherlands.

Received for publication November 10, 2006; revisions received November 29, 2006; accepted for publication December 7, 2006.

^_* Address for reprints: B. P. van Putte, MD, PhD, Department of Cardiothoracic Surgery, St Antonius Hospital, Koekoekslaan 1, Nieuwegein, The Netherlands. (Email: bvanputte@yahoo.com).

The first 20% of the full text of this article appears below.

Clinical Summary

A 59-year-old man was admitted to our hospital with a history of coronary artery bypass grafting 2 years before. On admission, he reported having exercise-induced dyspnea (New York Heart Association class III). Physical examination revealed decreased breath sounds at the left lower pulmonary fields and blood analysis showed a hemoglobin level of 7.7 mg/dL. Contrast-enhanced computed tomography (CT) (Figure 1, B) and magnetic resonance imaging (MRI) (Figure 1, A) of the aorta showed an aneurysm of 9.7 x 8.0 cm located on the left lateral aspect of the lower descending aorta. The presence of fluid in the left pleural space was suggestive of a leaking aortic aneurysm. Therefore, the patient was urgently treated with two aortic endoprostheses (Valiant 30 x 30 and 38 x 38 mm; Medtronic, Inc, Minneapolis, Minn) successfully inserted under radiographic control.

View larger version (90K):   Figure 1. MRI (A) and contrast enhanced CT (B) pictures of the aorta show an aneurysm of 9.7 x 8.0 cm located on the left lateral aspect of the lower descending aorta. The presence of fluid in the left pleural space was suggestive of a leaking aortic aneurysm.

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