Endovascular treatment of posttraumatic pseudoaneurysm of the internal mammary artery

Enrique Maria San Norberto; Angel Cilleruelo; Miguel Martin-Pedrosa; James Taylor; Mariano Garcia-Yuste; Carlos Vaquero

doi:10.1016/j.avsg.2013.06.034

Endovascular treatment of posttraumatic pseudoaneurysm of the internal mammary artery

Ann Vasc Surg. 2014 Apr;28(3):743.e1-5. doi: 10.1016/j.avsg.2013.06.034. Epub 2013 Oct 27.

Authors

Enrique Maria San Norberto¹, Angel Cilleruelo², Miguel Martin-Pedrosa³, James Taylor³, Mariano Garcia-Yuste², Carlos Vaquero³

Affiliations

¹ Department of Angiology and Vascular Surgery, Valladolid University Hospital, Valladolid, Spain. Electronic address: [email protected].
² Department of Thoracic Surgery, Valladolid University Hospital, Valladolid, Spain.
³ Department of Angiology and Vascular Surgery, Valladolid University Hospital, Valladolid, Spain.

PMID: 24556180
DOI: 10.1016/j.avsg.2013.06.034

Abstract

Pseudoaneurysm of the internal mammary artery is an unusual complication of wounds to the chest. We report a case of a 41-year-old man who sustained a stab chest wound and posttraumatic pseudoaneurysm of the internal mammary artery, resulting in hemomediastinum and hemothorax. The patient was successfully treated using emergency endovascular coil embolization. Because this injury is extremely rare, the literature is reviewed, and several principles are suggested to improve the management.

MeSH terms

Adult
Aneurysm, False / diagnosis
Aneurysm, False / etiology
Aneurysm, False / therapy*
Embolization, Therapeutic*
Endovascular Procedures*
Hemothorax / etiology
Humans
Male
Mammary Arteries / diagnostic imaging
Mammary Arteries / injuries*
Tomography, X-Ray Computed
Treatment Outcome
Vascular System Injuries / diagnosis
Vascular System Injuries / etiology
Vascular System Injuries / therapy*
Wounds, Stab / diagnosis
Wounds, Stab / etiology
Wounds, Stab / therapy*