A rare cause of diffuse alveolar hemorrhage: dissection of aorta

Recep Akgedik; Harun Karamanlı; Zeki Yüksel Günaydın; Kemal Uzun

doi:10.5606/tgkdc.dergisi.2017.13024

Recep Akgedik¹, Harun Karamanlı², Zeki Yüksel Günaydın², Kemal Uzun²

¹Ordu Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Ordu, Türkiye
²Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, Göğüs Hastalıkları Kliniği, Ankara, Türkiye
³Ordu Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Ordu, Türkiye
⁴Ordu Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Ordu, Türkiye

DOI : 10.5606/tgkdc.dergisi.2017.13024

A 40-year-old male patient with fever, cough, hemoptysis, and dyspnea was taken in for follow-up in intensive care unit under mechanical ventilation support due to bilateral alveolar infiltrations on chest radiograph and acute respiratory failure. Diffuse alveolar hemorrhage was diagnosed with bronchoscopic and radiological evaluation in addition to significant decrease in hemoglobin and hematocrit levels in short time. No cause was detected for diffuse alveolar hemorrhage. Ascending aortic dissection was detected on echocardiography and computed tomography angiography. Aortic root and aortic arch replacement was performed with a decision of urgent operation. Patient's clinical condition improved rapidly postoperatively. In this article, we present an aortic dissection case as a fairly rare cause for diffuse alveolar hemorrhage.

Keywords : Alveolar hemorrhage; aortic dissection; hemoptysis

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