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 inAsian cardiovascular & thoracic annals Vol. 17; no. 5; pp. 519 - 521
Main Authors Yamashiro, Satoshi, Kuniyoshi, Yukio, Arakaki, Katsuya, Inafuku, Hitoshi, Morishima, Yuji, Kise, Yuya
Format Journal Article
LanguageEnglish
Published London, England Asian Soc Cardio Surg 01.10.2009
SAGE Publications
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
Mammary Arteries
False
Sternum
Surgical Wound Infection
Aneurysm
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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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492309348633