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

Introduction: 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. Case report: A pue...

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Main Authors: Bruna Mohr Franciosi, Eduardo Zanotta Rodrigues, Israel Dumont Pedroso de Oliveira, Maria Fernanda Oliva Detanico
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Trauma Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352644024000451
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author Bruna Mohr Franciosi
Eduardo Zanotta Rodrigues
Israel Dumont Pedroso de Oliveira
Maria Fernanda Oliva Detanico
author_facet Bruna Mohr Franciosi
Eduardo Zanotta Rodrigues
Israel Dumont Pedroso de Oliveira
Maria Fernanda Oliva Detanico
author_sort Bruna Mohr Franciosi
collection DOAJ
description Introduction: 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. Case report: 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. Conclusion: 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.
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issn 2352-6440
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publishDate 2024-06-01
publisher Elsevier
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series Trauma Case Reports
spelling doaj-art-21a0ffa5e38c45dda85a3c25d67721e12025-08-20T02:05:49ZengElsevierTrauma Case Reports2352-64402024-06-015110102210.1016/j.tcr.2024.101022Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case reportBruna Mohr Franciosi0Eduardo Zanotta Rodrigues1Israel Dumont Pedroso de Oliveira2Maria Fernanda Oliva Detanico3Trauma Surgery Resident, Department of Trauma Surgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil; Corresponding author at: Rua General Câmara, 811/305, centro, São Gabriel, Rio Grande do Sul CEP 97300-442, Brazil.Trauma Surgery Resident, Department of Trauma Surgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, BrazilTrauma Surgery Resident, Department of Trauma Surgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, BrazilDigestive and Trauma Surgeon, Department of Trauma Surgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, BrazilIntroduction: 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. Case report: 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. Conclusion: 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.http://www.sciencedirect.com/science/article/pii/S2352644024000451PseudoaneurysmFalse aneurysmInternal thoracic arteryHemothoraxKristellercesarean section
spellingShingle Bruna Mohr Franciosi
Eduardo Zanotta Rodrigues
Israel Dumont Pedroso de Oliveira
Maria Fernanda Oliva Detanico
Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case report
Trauma Case Reports
Pseudoaneurysm
False aneurysm
Internal thoracic artery
Hemothorax
Kristeller
cesarean section
title Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case report
title_full Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case report
title_fullStr Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case report
title_full_unstemmed Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case report
title_short Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case report
title_sort management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post cesarean section involving traumatic fetal extraction a case report
topic Pseudoaneurysm
False aneurysm
Internal thoracic artery
Hemothorax
Kristeller
cesarean section
url http://www.sciencedirect.com/science/article/pii/S2352644024000451
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