title: Spontaneous intercostal arterial rupture restrained by conservative management.
abstract: A spontaneous intercostal arterial rupture in patients without associated illness or trauma is extremely rare. We present a 58-year-old man with an idiopathic and spontaneous arterial rupture restrained by conservative management. He was admitted to our institute with an intermittent back pain lasting for 3 days. His past history included no notable diseases and chest trauma. An enhanced computed tomography revealed an effusion of blood around the descending aorta and hematoma from right 10th intercostal artery. Management of blood pressure and administration of tranexamic acid were performed and he was uneventfully discharged at 11 days after onset.
authors.affiliation: Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.
authors.forename: Atsuhisa
authors.initials: A
authors.lastname: Ishida
authors.affiliation: Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.
authors.forename: Arudo
authors.initials: A
authors.lastname: Hiraoka
authors.affiliation: Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.
authors.forename: Genta
authors.initials: G
authors.lastname: Chikazawa
authors.affiliation: Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.
authors.forename: Kazuki
authors.initials: K
authors.lastname: Maeda
authors.affiliation: Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.
authors.forename: Hidenori
authors.initials: H
authors.lastname: Yoshitaka
keywords: conservative management; intercostal arterial rupture