title: Staged Management of a Ruptured Internal Mammary Artery Aneurysm.
abstract: The rupture of an internal mammary artery (IMA) aneurysm in a patient with type 1 neurofibromatosis (NF-1) is a rare but life-threatening complication requiring emergency management. A 50-year-old man with NF-1 was transferred to the emergency department of Kyungpook National University Hospital, where an IMA aneurysmal rupture and hemothorax were diagnosed and drained. The IMA aneurysmal rupture and hemothorax were successfully repaired by staged management combining endovascular treatment and subsequent video-assisted thoracoscopic surgery (VATS). The patient required cardiopulmonary cerebral resuscitation, the staged management of coil embolization, and a subsequent VATS procedure. This staged approach may be an effective therapeutic strategy in cases of IMA aneurysmal rupture.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine.
authors.forename: O Young
authors.initials: OY
authors.lastname: Kwon
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine.
authors.forename: Gun Jik
authors.initials: GJ
authors.lastname: Kim
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine.
authors.forename: Tak Hyuk
authors.initials: TH
authors.lastname: Oh
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine.
authors.forename: Young Ok
authors.initials: YO
authors.lastname: Lee
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine.
authors.forename: Sang Cjeol
authors.initials: SC
authors.lastname: Lee
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine.
authors.forename: Jun Yong
authors.initials: JY
authors.lastname: Cho
keywords: Endovascular procedures; Hemothorax; Surgery