Hemoptysis and pulmonary hemorrhage — rare complications of aortic arch aneurysm: а case report

Abstract

Introduction. Pulmonary hemorrhage is one of the life-threatening complications of some respiratory diseases. Rarely, it is a complication of an aortic aneurysm. In this case, the life risk is greater compared to other causes of pulmonary hemorrhage.

Brief description. A patient with an aortic arch aneurysm developed pulmonary hemorrhage as a result of damage to left lung apex tissue. The patient underwent urgent on-pump aortic arch replacement with circulatory arrest. The postoperative period was uneventful, and on the 14th day she was discharged in a satisfactory condition. In control examination 26 months after the surgery, the condition was satisfactory, and the patient returned to normal life. Control chest computed tomography revealed no pathology.

Discussion. Limiting surgical intervention only to the aorta in this patient allowed treating pulmonary hemorrhage without intervention on the lung tissue.