Thorac Cardiovasc Surg 2003; 51(6): 346-347
DOI: 10.1055/s-2003-45512
Case Report
© Georg Thieme Verlag Stuttgart · New York

Ruptured Intercostal Artery Pseudoaneurysm after Blunt Thoracic Trauma

T.  Aoki1 , A.  Okada1 , M.  Tsuchida1 , J.  Hayashi1
  • 1Division of Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
Further Information

Publication History

Received: May 19, 2003

Publication Date:
11 December 2003 (online)

Abstract

Here, we present the case of ruptured intercostal artery pseudoaneurysm two months after blunt thoracic trauma. Ruptured aneurysm hemorrhaged into the retroperitoneal space due to adhesion in the intrathoracic space. We unsuccessfully embolized the aneurysm during an angiographic procedure and performed the aneurysmectomy, removing the hematoma, using a retroperitoneal approach. Ruptured intercostal artery pseudoaneurysm after blunt thoracic trauma may have caused the delayed life-threatening hemorrhage.

References

  • 1 Shorr M R, Crittenden M, Indeck M, Hartunian S L, Rodriguez A. Blunt thoracic trauma. Analysis of 515 patients.  Ann Surg. 1987;  206 200-205
  • 2 Ziegler D W, Agarwal N N. The morbidity and mortality of rib fractures.  J Trauma. 1994;  37 975-979
  • 3 Simon B J, Chu Q, Emhoff T A, Fiallo V M, Lee K F. Delayed hemothorax after blunt thoracic trauma: an uncommon entity with significant morbidity.  J Trauma. 1998;  45 673-676
  • 4 Perry M O, Bongard F S. Vascular trauma. In: Moore WS, ed Vascular Surgery 5th edition. Philadelphia; WB Saunders 1998: 648-666
  • 5 Ross R M, Cordoba A. Delayed life-threatening hemothorax associated with rib fractures.  J Trauma. 1986;  26 576-578
  • 6 Kipfer B, Lardionis D, Triller J, Carrel T. Embolization of a ruptured intercostal artery aneurysm in type I neurofibromatosis.  Eur J Cardiothorac Surg. 2001;  19 721-723
  • 7 Smith R S, Fry W R, Tsoi E K. et al . Preliminary report on videothoracoscopy in the evaluation and treatment of thoracic injury.  Am J Surg. 1993;  166 690-693

Correspondence

Tadashi Aoki,MD 

Division of Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medical and Dental Sciences

1-757 Asahimachi-dori, Niigata City 951-8510

Japan

Phone: +81 (25) 227-2243

Fax: +81 (25) 227-0780

Email: taoki@med.niigata-u.ac.jp