CXR Case 131

A 79 year old man is extubated on ICU after routine surgery. Examine and report the CXR. What procedure has he had?

CXR CASE 131 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is a large endovascular aortic stent in situ.
The lung parenchyma look normal.
Trace of fluid in the horizontal fissure.


CLINICAL CORRELATION

This man has had his thoracic aortic aneurysm repaired with an endovascular stent – endovascular aneurysm repair (or endovascular aortic repair) (EVAR)


CLINICAL PEARLS

Compared with ‘traditional’ open repairs – EVAR is associated with significantly lower peri-operative morbidity – there is no thoracotomy and no clamping of the aorta required (same for abdominal aortic aneurysm repairs)


TOP 150 CXR SERIES



Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic| Top 100 CXR | Google Scholar |

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