title: Innominate artery injury from disseminated tuberculosis.
abstract: A 49-year-old man presented with chest pain and was found to have hemorrhage and drainage from a chest wound secondary to disseminated tuberculosis involving the sternum and ankle. He then developed acute hemorrhage from an innominate artery pseudoaneurysm originating just below a severely diseased sternoclavicular junction. A staged approach was used to manage his pathology given the life-threatening bleeding and his debilitated condition. He underwent endovascular stent grafting to exclude the pseudoaneurysm, followed by aggressive debridement of the affected sternal area.
authors.affiliation: Rutgers New Jersey Medical School, Newark, NJ, USA.
authors.forename: Oliver S
authors.initials: OS
authors.lastname: Chow
authors.affiliation: Rutgers New Jersey Medical School, Newark, NJ, USA.
authors.forename: Joe T
authors.initials: JT
authors.lastname: Huang
authors.affiliation: Rutgers New Jersey Medical School, Newark, NJ, USA.
authors.forename: Justin T
authors.initials: JT
authors.lastname: Sambol
authors.affiliation: Rutgers New Jersey Medical School, Newark, NJ, USA.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Bolanowski
authors.affiliation: Rutgers New Jersey Medical School, Newark, NJ, USA lovoulco@njms.rutgers.edu.
authors.forename: Constantinos J
authors.initials: CJ
authors.lastname: Lovoulos
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000995:Antitubercular Agents / Q000627:therapeutic use; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery; D003646:Debridement; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis / Q000150:complications* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents
keywords: Blood vessel prosthesis implantation; brachiocephalic trunk; mycobacterium tuberculosis; osteoarticular; osteomyelitis; sternum; tuberculosis