Post-Sternotomy Hemorrhage due to Left Internal Thoracic Artery Pseudoaneurysm

We describe a case of pseudoaneurysm of the internal thoracic artery, which was probably caused by infection. Four weeks after aortic valve replacement and coronary artery bypass surgery, an 84-year-old woman suddenly developed painful sternal instability and hypotension, with active hemorrhage from...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2009-10, Vol.17 (5), p.519-521
Main Authors: Yamashiro, Satoshi, Kuniyoshi, Yukio, Arakaki, Katsuya, Inafuku, Hitoshi, Morishima, Yuji, Kise, Yuya
Format: Article
Language:English
Subjects:
Aged, 80 and over
Aneurysm, False - diagnostic imaging
Aneurysm, False - microbiology
Aneurysm, False - therapy
Aneurysm, Infected - diagnostic imaging
Aneurysm, Infected - microbiology
Aneurysm, Infected - therapy
Anti-Bacterial Agents - therapeutic use
Combined Modality Therapy
Coronary Artery Bypass - adverse effects
Female
Heart Valve Prosthesis Implantation - adverse effects
Hemorrhage - diagnostic imaging
Hemorrhage - microbiology
Hemorrhage - therapy
Hemostatic Techniques
Humans
Hypotension - microbiology
Mammary Arteries - diagnostic imaging
Mammary Arteries - microbiology
Mammary Arteries - surgery
Reoperation
Staphylococcus epidermidis - isolation & purification
Sternotomy - adverse effects
Surgical Wound Dehiscence - diagnostic imaging
Surgical Wound Dehiscence - microbiology
Surgical Wound Dehiscence - therapy
Surgical Wound Infection - diagnostic imaging
Surgical Wound Infection - microbiology
Surgical Wound Infection - therapy
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures
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Summary:We describe a case of pseudoaneurysm of the internal thoracic artery, which was probably caused by infection. Four weeks after aortic valve replacement and coronary artery bypass surgery, an 84-year-old woman suddenly developed painful sternal instability and hypotension, with active hemorrhage from a left parasternal swelling. Selective arteriography revealed a pseudoaneurysm of the left internal thoracic artery. It was surgically excised, and the patient recovered uneventfully.
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492309348633