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Ann Thorac Surg 1999;68:2353
© 1999 The Society of Thoracic Surgeons

Images in Cardiothoracic Surgery

Ruptured aneurysm of an aberrant artery from the descending thoracic aorta

Ahmed A. Arifi, FRCSa, Anthony P.C. Yim, MDa, Song Wan, MD, PhDa

a Division of Cardiothoracic Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China

Address reprint requests to Dr Arifi, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, China

A 54-year-old male, previously well, presented with an acute onset of chest pain radiating to the back. A computed tomography of the thorax with constrast revealed an aberrant, tortuous artery in the posterior mediastinum associated with a left pleural effusion and a suggestion of mediastinal hematoma (Figs 1 and 2). Aortogram and selective cannulation of the aberrant artery revealed a very tortuous vessel with aneurysmal changes (Fig 3) and distal extravasation (Fig 4). The aberrant artery was successfully ligated after the proximal and distal control of the aorta was obtained on bypass through a left thoracotomy approach.



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This Article
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Anthony P.C. Yim
Song Wan
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