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

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. A puerperal presented with a mas...

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Bibliographic Details
Published in:Trauma case reports 2024-06, Vol.51, p.101022, Article 101022
Main Authors: Franciosi, Bruna Mohr, Rodrigues, Eduardo Zanotta, de Oliveira, Israel Dumont Pedroso, Detanico, Maria Fernanda Oliva
Format: Article
Language:English
Subjects:
Case Report
cesarean section
False aneurysm
Hemothorax
Internal thoracic artery
Kristeller
Pseudoaneurysm
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Summary: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. 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. 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.
ISSN:2352-6440
2352-6440
DOI:10.1016/j.tcr.2024.101022