title: [Hemothorax complicated with celiac artery compression syndrome (CACS); report of a case].
abstract: We report a case of hemothorax complicated with celiac artery compression syndrome (CACS). A 43-year-old man presented with a sudden onset left back pain. Computed tomography (CT) showed its hemothorax, esophageal artery aneurysm and severe stenosis of the celiac truncus with its anterior compression by median accurate ligament, and a diagnosis of CACS associated with rupture of the aneurysm was made. Emergent transcatheter arterial embolization of the aneurysm resulted in a technical failure, although the patient's condition was stable and performed esophageal artery ligation through video-assisted thoracoscopic surgery on day 5 after onset. After surgery, the patient recovered without significant incidents. A cause of this aneurysmal development was supposed to be a significantly increased esophageal arterial blood flow with its luminal dilation to compensate a decreased celiac blood flow. Segmental arterial mediolysis could not be excluded as another cause.
authors.affiliation: Department of Thoracic Surgery, Mie Chuo Medical Center, Tsu, Japan.
authors.forename: Naoko
authors.initials: N
authors.lastname: Uga
authors.forename: Katsutoshi
authors.initials: K
authors.lastname: Adachi
authors.forename: Tomohito
authors.initials: T
authors.lastname: Tarukawa
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Okuda
authors.forename: Kanji
authors.initials: K
authors.lastname: Tanigawa
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Nakaya
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Sato
authors.forename: Iwao
authors.initials: I
authors.lastname: Hioki
mesh_terms: D000328:Adult; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery*; D001019:Aortic Rupture / Q000209:etiology / Q000601:surgery; D002445:Celiac Artery / Q000002:abnormalities*; D003251:Constriction, Pathologic / Q000150:complications*; D006491:Hemothorax / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D000074742:Median Arcuate Ligament Syndrome; D014057:Tomography, X-Ray Computed