A case report of aneurysm of thoracic aorta ruptured into left lung and review of relature literatures.

Objective To investigate clinical characteristics, mortality and the early diagnosis and treatment of aneurysm of thoracic aorta ruptured into the left lung. Methods The data of 16 patients of aneurysm of thoracic aorta ruptured into the left lung wcre summarized and analyzed. Results The common primary symptoms included discase process long, with bacteria infection and specific infection in the patients with aneurysm of thoracic aorta rup- tured into the left lung. But the hemoptysis was found to be the primary complaints in aneurysm of thoracic aorta pen- etrating the lung. The arch aneurysm of thoracic aorta usually eroded the upper lobe of left lung, and the key operation manners were total or partial aortic arch replacement with artificial blood vessel and left upper lobectomy. It is necessary to perform combined resection of the aneurysm and a left lower lobectomy under circulatory pulmonary bypass. If there was no aortic wall rupture caused uncontrollable bleeding in the operative course, the patients prognosis would be better. Conclusion It is an cffective method of aneurysmeetomy with left pneumonectomy or lobcctomy to treat aneurysm of thoracic aorta. Key words: Rupture of aneurysm of thoracic aorta;  Surgical operation