Hemothorax Revealing Aortic Aneurism and Aortic Dissection


Hemothorax caused by rupture of aortic aneurysm or aortic dissection is an uncommon manifestation and carries a high mortality rate. We report two cases of 75- and 80-year-old men, who were referred to our department for exploration of a left pleural opacity. Thoracentesis produced a hemorrhagic fluid. The computed tomography scan revealed an aortic dissection type B of Stanford in the first case and an aneurysm of the descending thoracic aorta in the second patient. Emergency operation was performed in the first case but the patient died of multiple organ failure 48 hours after surgery. Aortic dissection or aneurysm can result in a hemothorax especially in patient with favourable conditions such as elderly patient and systemic hypertension. Diagnosis relies on computed tomography (CT) scan and echocardiography.

Share and Cite:

Abdallah, F. , Gharsalli, H. , Kwas, H. , Taktak, S. , Chtourou, A. and Kheder, A. (2013) Hemothorax Revealing Aortic Aneurism and Aortic Dissection. Open Journal of Respiratory Diseases, 3, 113-115. doi: 10.4236/ojrd.2013.33017.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] S. Little, J. Johnson, B. Y. Moon and S. Mehta, “Painless Left Hemorrhagic Pleural Effusion,” Chest, Vol. 116, No. 5, 1999, pp. 1478-1480. doi:10.1378/chest.116.5.1478
[2] T. Langin, P. E. Kelkel and D. Villemot, “Left Hemothorax, a Complication of a Dissecting Aneurysm of the Descending Thoracic Aorta,” Revue Des Maladies Respiratoires, Vol. 11, No. 1, 1994, pp. 74-76.
[3] S. Bousnina, I. Zendah, K. Marniche, H. Racil, S. Kachboura, M. L. Megdiche and A. Chabbou, “Left Hemothorax Caused by Aortic Dissection,” Revue de Pneumologie Clinique, Vol. 63, No. 2, 2007, pp. 119-122. doi:10.1016/S0761-8417(07)90113-3
[4] J. Josserand, B. Boura, L. Yakhou, P. Albaladejo and J. Marty, “Rupture of a Thoracic Aortic Aneurysm into the Right Pleural Cavity,” Annales Francaises d’Anesthésie et de Réanimation, Vol. 25, No. 9, 2006, pp. 997-999. doi:10.1016/j.annfar.2006.06.015
[5] F. Baharloo, R. Verhelst, P. Collard and T. Pieters, “Rupture of Aortic Aneurysm with Right-Sided Haemothorax,” European Respiratory Journal, Vol. 13, No. 2, 1999, pp. 465-467. doi:10.1183/09031936.99.13246599
[6] E. M. Larson and W. D. Edwards, “Risk Factors for Aortic Dissection: A Necropsy Study of 161 Cases,” The American Journal of Cardiology, Vol. 53, No. 6, 1984, pp. 849-855. doi:10.1016/0002-9149(84)90418-1
[7] S. F. Miller, H. R. Shah, R. S. Pritchard and E. C. Buckner, “CT Diagnosis of Right Hemothorax Secondary to Ruptured Thoracoabdominal Aneurysm: Case Report,” CardioVascular and Interventional Radiology, Vol. 12, No. 6, 1990, pp. 326-328. doi:10.1007/BF02575431
[8] F. Özkan, E. Akpina, T. Serter, A. Özyüksel and T. Hazirolan, “Ruptured Type B Aortic Dissection Presenting with Right Hemothorax,” Diagnostic and Interventional Radiology, Vol. 14, No. 1, 2008, pp. 6-8.
[9] W. Slisatkorn, P. Laksanabunsong and P. Thongcharoen, “Ruptured Right Aortic Arch Aneurysm,” Asian Cardiovascular and Thoracic Annals, Vol. 12, No. 4, 2004, pp. 360-362. doi:10.1177/021849230401200417

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.