title: Thoracoscopic and endovascular management of retained haemothoarx associated with an intercostal artery pseudoaneurysm.
abstract: Intercostal artery pseudoaneurysm (IAP) is a rare entity and may complicate a percutaneous intervention through an intercostal space or follow thoracic trauma. Its rupture into the pleural space can give rise to haemothorax, which if untreated may lead to a retained haemothorax (RH). Traditionally both the IAP and the RH are managed by a thoracotomy. We report a patient who developed an IAP with haemothorax following a trauma. The diagnosis was established by computed tomography. The patient was treated by endovascular embolisation of the IAP followed by thoracoscopic decortications of the RH.
authors.forename: R R
authors.initials: RR
authors.lastname: Behera
authors.forename: B
authors.initials: B
authors.lastname: Gouda
authors.forename: A
authors.initials: A
authors.lastname: Kulkarni
authors.forename: Z F
authors.initials: ZF
authors.lastname: Udwadia
authors.forename: D S
authors.initials: DS
authors.lastname: Bhandarkar
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D048909:Diabetes Complications; D004621:Embolization, Therapeutic / Q000379:methods; D057510:Endovascular Procedures / Q000379:methods; D005500:Follow-Up Studies; D006491:Hemothorax / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006973:Hypertension / Q000150:complications; D007366:Intercostal Muscles / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013898:Thoracic Injuries / Q000150:complications* / Q000209:etiology; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014951:Wounds, Stab / Q000150:complications*