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 a left parasternal swelling. Selective arteriography revealed a pseudoaneurysm of the left internal thoracic artery. It was surgically excised, and the patient recovered uneventfully.
Yamashiro
Satoshi
S
Thoracic and Cardiovascular Surgery Division, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan. y3104@med.u-ryukyu.ac.jp
Kuniyoshi
Yukio
Y
Arakaki
Katsuya
K
Inafuku
Hitoshi
H
Morishima
Yuji
Y
Kise
Yuya
Y
D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass / Q000009:adverse effects; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D006489:Hemostatic Techniques; D006801:Humans; D007022:Hypotension / Q000382:microbiology; D008323:Mammary Arteries / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D012086:Reoperation; D013212:Staphylococcus epidermidis / Q000302:isolation & purification*; D056346:Sternotomy / Q000009:adverse effects*; D013529:Surgical Wound Dehiscence / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D013530:Surgical Wound Infection / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures
D000900:Anti-Bacterial Agents