Innominate artery injury from disseminated tuberculosis.

Autor: Chow OS; Rutgers New Jersey Medical School, Newark, NJ, USA., Huang JT; Rutgers New Jersey Medical School, Newark, NJ, USA., Sambol JT; Rutgers New Jersey Medical School, Newark, NJ, USA., Bolanowski PJ; Rutgers New Jersey Medical School, Newark, NJ, USA., Lovoulos CJ; Rutgers New Jersey Medical School, Newark, NJ, USA lovoulco@njms.rutgers.edu.
Jazyk: angličtina
Zdroj: Asian cardiovascular & thoracic annals [Asian Cardiovasc Thorac Ann] 2015 Jul; Vol. 23 (6), pp. 704-6. Date of Electronic Publication: 2014 Feb 10.
DOI: 10.1177/0218492314523767
Abstrakt: A 49-year-old man presented with chest pain and was found to have hemorrhage and drainage from a chest wound secondary to disseminated tuberculosis involving the sternum and ankle. He then developed acute hemorrhage from an innominate artery pseudoaneurysm originating just below a severely diseased sternoclavicular junction. A staged approach was used to manage his pathology given the life-threatening bleeding and his debilitated condition. He underwent endovascular stent grafting to exclude the pseudoaneurysm, followed by aggressive debridement of the affected sternal area.
(© The Author(s) 2014.)
Databáze: MEDLINE