title: Internal Mammary Artery Injury Related to Chest Compressions in a Patient with Post-cardiac Arrest Syndrome.
abstract: Although high-quality cardiopulmonary resuscitation (CPR) is essential for survival from cardiac arrest, chest compressions can also sometimes lead to life-threatening chest injuries. In addition, post-cardiac arrest syndrome patients often have coagulopathy due to therapeutic hypothermia, mechanical hemodynamic support, or both. Therefore, when progressive anemia and prolonged shock are detected in patients who have received CPR, identifying the cause of hemorrhagic shock is crucial. We herein present an interesting case of hemorrhagic shock due to an internal mammary artery injury secondary to CPR that was detected by computed tomography and invasive angiography.
authors.affiliation: Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan.
authors.forename: Shoji
authors.initials: S
authors.lastname: Kawakami
authors.forename: Teruo
authors.initials: T
authors.lastname: Noguchi
authors.forename: Takahito
authors.initials: T
authors.lastname: Doi
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Tahara
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Sanda
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Fukuda
authors.forename: Hisao
authors.initials: H
authors.lastname: Ogawa
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yasuda
mesh_terms: D000368:Aged; D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects* / Q000379:methods; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000293:injuries*; D013577:Syndrome; D013898:Thoracic Injuries / Q000150:complications* / Q000175:diagnosis; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology*