Intrapulmonary rupture of an aortic aneurysm

Schyma, Christian; Amberg, R.; Madea, B. (2013). Intrapulmonary rupture of an aortic aneurysm. Rechtsmedizin, 23(3), pp. 196-200. Springer-Medizin-Verlag 10.1007/s00194-013-0887-4

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Thoracic aortic aneurysms normally cause death due to either intrapericardial (cardiac tamponade) or intrapleural rupture (internal hemorrhage). There are only very few case reports on sudden unexpected death due to rupture of a thoracic aortic aneurysm into the left lung. Hemoptysis may be the first clinical symptom of a rupture of a thoracic aortic aneurysm into the lungs. In cases of rupture of a thoracic aneurysm into the lungs the cause of death is mostly fatal blood aspiration. This article reports the case of a 40-year-old man who after thoracic pain in the days before death presented in an ear nose and throat clinic (ENT) with suddenly occurring hemoptysis. The patient suddenly collapsed during the diagnostic examination and died despite emergency measures. Cause of death was a primary intrapulmonary and then intrapleural rupture of a thoracic aortic aneurysm at the site of surgical repair of aortic coarctation in childhood.

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