Look past the bleed! A case of non-traumatic thoracic aortic pseudoaneurysm presenting as haemoptysis

Look past the bleed! A case of non-traumatic thoracic aortic pseudoaneurysm presenting as haemoptysis

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Introduction: Aortic pseudoaneurysms are a type of contained rupture where most of the aortic wall is breached, leaving only a thin rim of the remaining wall or adventitia to hold the blood.This condition carries a high risk of rupture and potentially fatal complications.Typically, Hookah Tongs patients present with chest pain; haemoptysis can also occur, though rarely.Case description: A 64-year-old male who presented with two episodes of haemoptysis, with no history of cardiovascular surgery or trauma.

A chest computerized tomography (CT) followed by an aortogram revealed a thoracic aortic pseudoaneurysm and the patient underwent surgical aortic repair without any complications.This case underscores the rare presentation of thoracic aortic pseudoaneurysm.Discussion: Haemoptysis is a rare manifestation of thoracic aorta pseudoaneurysm and can be a warning sign of impending rupture.Haemoptysis may occur due to formation of aortopulmonary Water Tray Front Cover fistula or direct erosion of pseudoaneurysm into lung parenchyma.

Conclusion: It is imperative for clinicians to recognise such manifestations early for prompt diagnosis and prevention of complications.