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Case Studies | Surgery | Volume 15 Issue 4, April 2026 | Pages: 990 - 991 | India
Ascending Aortic Aneurysm Rupturing into the Chest Wall: A Rare Case Report
Abstract: Background: Ascending aortic aneurysm rupture is a life-threatening condition with extremely high mortality. Rupture into the chest wall is exceptionally rare and presents unique surgical challenges. Case Presentation: A 78-year-old hypertensive female presented with a pulsatile anterior chest wall swelling. Imaging revealed a large saccular ascending aortic aneurysm rupturing into the chest wall with active contrast extravasation. Emergency surgical repair was performed using cardiopulmonary bypass established prior to sternotomy via femoral and axillary cannulation. A 24 mm Dacron graft was used for reconstruction under hypothermic circulatory arrest with selective antegrade cerebral perfusion. Results: The postoperative course was complicated by respiratory failure requiring tracheostomy and prolonged ventilation. The patient was gradually weaned off and discharged on postoperative day 28 without neurological deficits. Conclusion: Early diagnosis and prompt surgical intervention are crucial in managing ruptured ascending aortic aneurysms. Multidisciplinary care significantly improves outcomes even in high-risk elderly patients.
Keywords: Ascending aortic aneurysm, rupture, chest wall, cardiopulmonary bypass, hypothermic circulatory arrest
How to Cite?: Jithin Reji George, Ratish Radhakrishnan, Ramkumar R, "Ascending Aortic Aneurysm Rupturing into the Chest Wall: A Rare Case Report", Volume 15 Issue 4, April 2026, International Journal of Science and Research (IJSR), Pages: 990-991, https://www.ijsr.net/getabstract.php?paperid=SR26416112342, DOI: https://dx.dx.doi.org/10.21275/SR26416112342