Spontaneous rupture of the lateral thoracic artery in patients with liver cirrhosis.
Bleeding in patients with liver cirrhosis is primarily caused by gastroesophageal varix in association with extensive collateral circulation, portal hypertensive gastropathy, a Mallory-Weiss tear and peptic ulcer disease. The spontaneous rupture of an artery, as a result of coagulopathy, is extremely rare in patients with liver cirrhosis; however, we recently observed a case of a spontaneous rupture of the lateral thoracic artery in a 47 year-old male patient with alcoholic liver cirrhosis. The patient expired despite repeated transcatheter arterial embolization of the lateral thoracic artery and best supportive care. This is, to our knowledge, the first documented case of the spontaneous rupture of the lateral thoracic artery in a patient with liver cirrhosis.
Lee
Tae Hee
TH
Department of Internal Medicine, Konyang University College of Medicine, Gasoowon-dong, Seo-gu, Daejeon, Korea. green740@naver.com
Park
Yong Sung
YS
Chung
Dong Jin
DJ
Kim
Ji Hyung
JH
Kim
Sun Moon
SM
Im
Euyi Hyeog
EH
Huh
Kyu Chan
KC
D000784:Aortic Dissection / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000209:etiology*; D013895:Thoracic Arteries / Q000473:pathology*; D013997:Time Factors
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