title: Massive Hemothorax Occurring with Intramural Hematoma of the Descending Aorta in the Early Postpartum Period.
abstract: Postpartum aortic intramural hematoma (IMH) is a rare but potentially lethal condition. We report a case of aortic IMH with massive hemothorax in a postpartum woman. The patient was a 31-year-old woman who had delivered twins by cesarean section. Two days after delivery, she complained of sudden-onset dyspnea. Chest computed tomography revealed a massive left hemothorax. Exploratory thoracotomy was performed, and we found a defect measuring approximately 6 mm in the adventitial layer of the thoracic aorta and an IMH. We repaired the defect primarily, and no more bleeding was observed. The patient was discharged on the 19th postoperative day without any complications.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine.
authors.forename: Jeong Hee
authors.initials: JH
authors.lastname: Yun
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine.
authors.forename: Yeong Jeong
authors.initials: YJ
authors.lastname: Jeon
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine.
authors.forename: Tae Hee
authors.initials: TH
authors.lastname: Hong
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Changwon Hospital, Gyeongsang National University School of Medicine.
authors.forename: Joung Hun
authors.initials: JH
authors.lastname: Byun
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine.
authors.forename: Sang Won
authors.initials: SW
authors.lastname: Hwang
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine.
authors.forename: Jae Hong
authors.initials: JH
authors.lastname: Park
keywords: Hemothorax; Intramural; Pregnancy