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Massive hemothorax Caused by Intercostal Artery Pseudoaneurysm: A Case Report
- Source :
- Journal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-5 (2021), Journal of Cardiothoracic Surgery
- Publication Year :
- 2020
- Publisher :
- Research Square Platform LLC, 2020.
-
Abstract
- Background Intercostal artery pseudoaneurysm is rare and at the risk of rupture. The aetiology is always reported to be iatrogenic and traumatic injury. Embolisation is the most common therapeutic method. Here, we report a case of spontaneous intercostal artery pseudoaneurysm and cured by combining covered stent grafting and surgical management. Case presentation A 60-year-old man complained of acute right back pain for 5 h. Computed tomography showed right massive hemothorax and a giant mass with distinct feeding vessel originated from the thoracic aorta within the right hemithorax. Thoracocentesis was performed, and then a covered stent was positioned across the origin of the feeding vessel. The patient was diagnosed with intercostal artery pseudoaneurysm. Finally, we successfully resected the pseudoaneurysm and ligated the proximal part of the artery. Histologic examination have proved the diagnosis. The postoperative course was uneventful, and the patient was discharged on postoperative day 10. There is no recurrence reported during follow-up. Conclusions Spontaneous intercostal artery pseudoaneurysm is extremly rare. Delayed hemothorax due to rupture of the pseudoaneurysm may occur years after the formation. Early diagnosis is important and a combined treatment of endovascular intervention and surgical management is feasible, especially for the case of ruptured large tumour-like mass presentation of the pseudoaneurysm.
- Subjects :
- Pulmonary and Respiratory Medicine
Male
medicine.medical_specialty
Intercostal artery pseudoaneurysm
RD1-811
Intercostal Muscles
Case Report
Surgical management,case report
030218 nuclear medicine & medical imaging
03 medical and health sciences
Pseudoaneurysm
Massive hemothorax
0302 clinical medicine
Anesthesiology
medicine.artery
Back pain
Medicine
Thoracic aorta
Humans
RD78.3-87.3
cardiovascular diseases
Hemothorax
Covered stent grafting
Rupture, Spontaneous
business.industry
General Medicine
Arteries
Middle Aged
medicine.disease
Surgery
Cardiac surgery
medicine.anatomical_structure
Cardiothoracic surgery
cardiovascular system
Stents
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Tomography, X-Ray Computed
Intercostal arteries
030217 neurology & neurosurgery
Aneurysm, False
Artery
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-5 (2021), Journal of Cardiothoracic Surgery
- Accession number :
- edsair.doi.dedup.....c6c56877653c739b53ba1a789d542528