Journal Information
Vol. 46. Issue 5.
Pages 295 (May 2022)
Share
Share
Download PDF
More article options
Vol. 46. Issue 5.
Pages 295 (May 2022)
Images in Intensive Medicine
Full text access
Apparent pulmonary embolism in a patient with an ascending aortic aneurysm
Aparente tromboembolismo pulmonar en paciente con aneurisma de aorta ascendente
Visits
2186
I. Salinasa, M. Mohameda,
Corresponding author
mimi.mm93@gmail.com

Corresponding author.
, M.I. Diez Pérez de las Vacasb
a Servicio de Medicina Intensiva, Hospital Universitario del Henares, Coslada, Madrid, Spain
b Servicio de Radiología, Hospital Universitario del Henares, Coslada, Madrid, Spain
This item has received
Article information
Full Text
Download PDF
Statistics
Figures (3)
Show moreShow less
Full Text

A 78-year-old male with arterial hypertension and dyslipidemia presented due to recurrent sudden syncopal episodes. Upon arrival in the emergency room, he appeared to be in good condition, with a tendency towards hypertension, tachycardia and tachypnea, with good oxygen saturation. The laboratory tests indicated impaired renal function with moderate hyperlactacidemia and D dimer elevation. With the suspicion of pulmonary thromboembolism (PTE), a thoracic CT scan was requested (Fig. 1), which discarded PTE. The study was extended with CT angiography of the thoracic aorta (Fig. 2), which identified an 8.6-cm supravalvular aneurysmal dilatation of the ascending aorta (Fig. 3), with an important mass effect and affecting the trunk of the pulmonary artery (red arrow in Fig. 1). Elective surgery was performed for replacement of the aneurysm with a supracoronary aortic tube. The postoperative clinical course was good, and the patient was discharged.

Figure 1
(0.09MB).
Figure 2
(0.11MB).
Figure 3
(0.15MB).

Please cite this article as: Salinas I, Mohamed M, Diez Pérez de las Vacas MI. Aparente tromboembolismo pulmonar en paciente con aneurisma de aorta ascendente. Med Intensiva. 2022;46:295.

Download PDF
Idiomas
Medicina Intensiva (English Edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

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