Staged Management of a Ruptured Internal Mammary Artery Aneurysm.
10.5090/kjtcs.2016.49.2.130
- Author:
O Young KWON
1
;
Gun Jik KIM
;
Tak Hyuk OH
;
Young Ok LEE
;
Sang Cjeol LEE
;
Jun Yong CHO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Korea. straightroot@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Hemothorax;
Endovascular procedures;
Surgery
- MeSH:
Aneurysm*;
Embolization, Therapeutic;
Emergencies;
Emergency Service, Hospital;
Endovascular Procedures;
Gyeongsangbuk-do;
Hemothorax;
Humans;
Mammary Arteries*;
Middle Aged;
Neurofibromatosis 1;
Resuscitation;
Rupture;
Thoracic Surgery, Video-Assisted
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(2):130-133
- CountryRepublic of Korea
- Language:English
-
Abstract:
The rupture of an internal mammary artery (IMA) aneurysm in a patient with type 1 neurofibromatosis (NF-1) is a rare but life-threatening complication requiring emergency management. A 50-year-old man with NF-1 was transferred to the emergency department of Kyungpook National University Hospital, where an IMA aneurysmal rupture and hemothorax were diagnosed and drained. The IMA aneurysmal rupture and hemothorax were successfully repaired by staged management combining endovascular treatment and subsequent video-assisted thoracoscopic surgery (VATS). The patient required cardiopulmonary cerebral resuscitation, the staged management of coil embolization, and a subsequent VATS procedure. This staged approach may be an effective therapeutic strategy in cases of IMA aneurysmal rupture.
