Cases reported "Hemothorax"

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1/8. Giant coronary artery bypass graft pseudoaneurysm presenting as a haemothorax.

    coronary artery bypass graft pseudoaneurysms are rare. A case of a giant coronary artery pseudoaneurysm with probable intrapleural leakage and resulting haemothorax 14 years after coronary artery bypass surgery (CABG) is presented. The computed tomography (CT) and angiographic appearances are described. To our knowledge, this clinical presentation of a CABG pseudoaneurysm has not been described. Walsh, G. (2001). Clinical Radiology56, 74-75.
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keywords = pseudoaneurysm
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2/8. Ruptured intercostal artery pseudoaneurysm after blunt thoracic trauma.

    Here, we present the case of ruptured intercostal artery pseudoaneurysm two months after blunt thoracic trauma. Ruptured aneurysm hemorrhaged into the retroperitoneal space due to adhesion in the intrathoracic space. We unsuccessfully embolized the aneurysm during an angiographic procedure and performed the aneurysmectomy, removing the hematoma, using a retroperitoneal approach. Ruptured intercostal artery pseudoaneurysm after blunt thoracic trauma may have caused the delayed life-threatening hemorrhage.
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ranking = 0.85714285714286
keywords = pseudoaneurysm
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3/8. Pseudoaneurysm of the internal mammary artery as an unusual cause of post-sternotomy hemorrhage: the role of multislice computed tomography in the diagnosis and treatment planning.

    Pseudoaneurysm of the internal mammary artery (IMA) following median sternotomy is extremely rare. To date, the reported cases are only in single figures. The majority of these pseudoaneurysms were suspected from the clinical presentation, echocardiography or computed tomography (CT) but were only confirmed on contrast angiography. This case report demonstrates the current ability to carry out detailed vascular imaging on a 16-slice CT scanner. This accurate delineation of the pseudoaneurysm allowed targeted therapeutic embolization to be performed without unnecessary angiographic imaging.
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ranking = 0.28571428571429
keywords = pseudoaneurysm
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4/8. Thoracic aortic pseudoaneurysm after spine trauma in ankylosing spondylitis. Case report.

    Ankylosing spondylitis (AS) is a rheumatic disease characterized by consolidation of the articulating surfaces and inflammation of the vertebral column. Because of its associated spine stiffness and secondary osteoporosis, patients with this disorder are at increased risk of vertebral fractures. Ankylosing spondylitis presents a significant challenge to spine surgeons because of its complex effects on the spine, extraarticular organ manifestations, and potential neurological and functional sequelae. Traumatic thoracic and lumbar spine injuries in this patient population may be associated with injury to the aorta either due to direct mechanical trauma or to blunt forces associated with the spine fracture. This complication and association is thought to be the result of pathophysiological changes that cause the aorta to become firmly adherent to the anterior longitudinal ligament. The authors present a case of AS in a patient with a thoracic spine fracture and in whom a delayed thoracic aortic pseudoaneurysm ruptured. To the best of the authors' knowledge, only five cases of this complex condition have been reported since 1980. Recognition of the potential for aortic injury in patients with AS should prompt early investigation of the aorta in cases involving numerous fractures and assist in surgical planning to avoid this lethal injury.
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ranking = 0.71428571428571
keywords = pseudoaneurysm
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5/8. Endovascular treatment of a ruptured internal thoracic artery pseudoaneurysm presenting as a massive hemothorax in a patient with type I neurofibromatosis.

    We report a case of acute hemothorax caused by a left internal thoracic artery pseudoaneurysm rupture in a patient with neurofibromatosis type I, which was successfully treated with endovascular coil embolization.
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ranking = 0.71428571428571
keywords = pseudoaneurysm
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6/8. Penetrating atherosclerotic aortic ulcer with dissecting hematoma: control of bleeding with percutaneous embolization.

    A case is presented in which left subpleural hematoma and hemothorax resulted from a penetrating atherosclerotic aortic ulcer with an aortic pseudoaneurysm and intramedial hematoma. Percutaneous transfemoral embolization of the ulcer with use of coils and thrombin resulted in stabilization of the patient's hemodynamic status. The patient died 6 days later of pneumonia. In certain clinical situations, treatment of bleeding from penetrating aortic ulcers with percutaneous embolization may stabilize the patient's condition, allowing elective surgical intervention.
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ranking = 0.14285714285714
keywords = pseudoaneurysm
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7/8. Umbilical artery catheterization complicated by multiple mycotic aortic aneurysms.

    A premature infant had three pseudoaneurysms of the thoracic and abdominal aorta secondary to umbilical artery catheterization and sepsis. The infant had septicemia as the direct result of bacterial contamination of an umbilical artery catheter with staphylococcus aureus. The thoracic pseudoaneurysm caused massive hemothorax and the infant's death. The upper abdominal aortic aneurysm developed at the level of the renal arteries and caused decreased left renal blood flow and renal hypoplasia. The lower abdominal aneurysm involved the right iliac artery and was complicated by mural thrombosis and ischemia of the right leg. To our knowledge, this is the first published case of multiple mycotic aortic aneurysms after umbilical artery catheterization.
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ranking = 0.28571428571429
keywords = pseudoaneurysm
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8/8. Radiologic management of traumatic hepatic artery-portal vein arteriovenous fistulae.

    Traumatic hepatic artery portal vein arteriovenous fistulae (HPF) are uncommon but potentially life-threatening distortions of hepatic circulation. They are curable causes of gastrointestinal bleeding and portal hypertension. HPF may result from lacerations of adjacent arterial and venous walls, pseudoaneurysms, or liver erosion causing a shunt into the portal vein. Symptoms are GI bleeding, or crampy abdominal pain and diarrhea, or in delayed HPF, signs of portal hypertension. angiography can make the diagnosis and may be therapeutic, as in one reported case, in which successful transcatheter embolization obviated the need for surgical treatment.
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ranking = 0.14285714285714
keywords = pseudoaneurysm
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