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  • Title: Tension hemothorax caused by a ruptured aneurysm of the descending thoracic aorta: report of a a case.
    Author: Ootaki Y, Okada M, Yamashita C, Sugimoto T, Wakiyama H.
    Journal: Surg Today; 2000; 30(6):558-60. PubMed ID: 10883473.
    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 o f a hugh hematoma through a left thoracotomy cannot be effectively achieved.
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