An Arteriovenous Fistula Between the Internal Mammary Artery and the Pulmonary Vein Following Blunt Chest Trauma
| Autor: | Toshihisa Sakamoto, Hirofumi Norio, Yoshiaki Okada, Tatsumi Kaji, Toshitaka Ito |
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| Rok vydání: | 2004 |
| Předmět: |
Male
medicine.medical_specialty Thoracic Injuries medicine.medical_treatment Arteriogram Arteriovenous fistula Wounds Nonpenetrating Pulmonary vein medicine Humans Radiology Nuclear Medicine and imaging Embolization Mammary Arteries Aged Lung business.industry Accidents Traffic Angiography medicine.disease Embolization Therapeutic Extravasation Surgery medicine.anatomical_structure Pulmonary Veins Shock (circulatory) Arteriovenous Fistula Radiology medicine.symptom Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Left Pulmonary Vein |
| Zdroj: | CardioVascular and Interventional Radiology. 28:120-123 |
| ISSN: | 1432-086X 0174-1551 |
| DOI: | 10.1007/s00270-004-9111-y |
| Popis: | A 67-year-old man suffered a traffic accident and was transferred to an emergency hospital close to the scene. He was diagnosed to have bilateral pneumohemothorax with a lung contusion, an anterior fracture dislocation of the C6-vertebra and a cervical cord injury at the level of C7. On the 48th day, massive hemoptysis was suddenly recognized. He was transferred in a state of shock to our hospital to undergo hemostasis for the bleeding. On the day of admission, a selective arteriogram showed extravasation from the left bronchial artery, for which embolization was carried out using Gelfoam. In spite of this treatment, his hemoptysis continued. On the next day, a selective left internal mammary arteriogram showed an arteriovenous fistula between the left internal mammary artery and the left pulmonary vein without any apparent extravasation. The arteriovenous fistula was successfully embolized using platinum fiber coils. The patient no longer demonstrated any hemoptysis after embolization. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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