Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case report

Q4 Medicine Trauma Case Reports Pub Date : 2024-04-10 DOI:10.1016/j.tcr.2024.101022

Bruna Mohr Franciosi , Eduardo Zanotta Rodrigues , Israel Dumont Pedroso de Oliveira , Maria Fernanda Oliva Detanico

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Abstract

Introduction

Pseudoaneurysm, or false aneurysm, is a clinical entity caused by rupture of the arterial wall, leading to blood leakage that is confined by sorroundig tissue. Massive hemothorax constitutes a life-threatening condition demanding timely and accurate medical response.

Case report

A puerperal presented with a massive hemothorax precipitated by a traumatic cesarean section due to hemorrhage from a pseudoaneurysm of the left internal thoracic artery. Initial treatment involved a sternotomy, followed by a conclusive therapy via angioembolization.

Conclusion

Precise assessment, including the measurement and localization of the ITA pseudoaneurysm is crucial to formulate an appropriate therapeutic strategy. Current medial practice favors endovascular embolization as a reliable and minimally invasive alternative to open surgery, establishing ir as the treatment of choice.

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剖宫产术后因创伤性胎儿娩出而采用血管栓塞术治疗乳内假性动脉瘤导致的大面积血胸：病例报告

导言假性动脉瘤或称假性动脉瘤，是由于动脉壁破裂导致血液渗漏，并被周围组织封闭而形成的一种临床实体。病例报告一名产妇因外伤性剖宫产导致左胸内动脉假性动脉瘤出血而引发大面积血气胸。最初的治疗包括胸骨切开术，随后通过血管栓塞术进行确诊治疗。结论精确的评估，包括对 ITA 假性动脉瘤的测量和定位，对于制定适当的治疗策略至关重要。目前的医学实践倾向于血管内栓塞术，认为这是一种可靠的微创手术，可替代开放手术，并将血管内栓塞术确立为首选治疗方法。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.