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

Autor: Franciosi BM; Trauma Surgery Resident, Department of Trauma Surgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil., Rodrigues EZ; Trauma Surgery Resident, Department of Trauma Surgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil., de Oliveira IDP; Trauma Surgery Resident, Department of Trauma Surgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil., Detanico MFO; Digestive and Trauma Surgeon, Department of Trauma Surgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil.
Jazyk: angličtina
Zdroj: Trauma case reports [Trauma Case Rep] 2024 Apr 10; Vol. 51, pp. 101022. Date of Electronic Publication: 2024 Apr 10 (Print Publication: 2024).
DOI: 10.1016/j.tcr.2024.101022
Abstrakt: 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.
Competing Interests: Bruna Mohr Franciosi: none. Eduardo Zanotta Rodrigues: none. Israel Dumondt Pedroso: none. Maria Fernanda Oliva Detânico: none.
(© 2024 The Authors.)
Databáze: MEDLINE
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