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Successful endovascular repair with coil embolization of ruptured right internal thoracic artery aneurysm / Reparo endovascular bem-sucedido de aneurisma da artéria torácica interna direita roto com embolização com molas
Shrimanth, Yamasandi Siddegowda; Gawalkar, Atit A; Barwad, Parag; Ghosh, Soumitra; Verma, Samman; Sharma, Arun; Naganur, Sanjeev.
  • Shrimanth, Yamasandi Siddegowda; Post Graduate Institute of Medical Education & Research. Chandigarh. IN
  • Gawalkar, Atit A; Post Graduate Institute of Medical Education & Research. Chandigarh. IN
  • Barwad, Parag; Post Graduate Institute of Medical Education & Research. Chandigarh. IN
  • Ghosh, Soumitra; Post Graduate Institute of Medical Education & Research. Chandigarh. IN
  • Verma, Samman; Post Graduate Institute of Medical Education & Research. Chandigarh. IN
  • Sharma, Arun; Post Graduate Institute of Medical Education & Research. Chandigarh. IN
  • Naganur, Sanjeev; Post Graduate Institute of Medical Education & Research. Chandigarh. IN
J. vasc. bras ; 21: e20210223, 2022. graf
Article in English | LILACS | ID: biblio-1386119
ABSTRACT
Abstract Internal thoracic artery aneurysms (ITAAs) are rare with wide variation in clinical presentation and a high risk of rupture. Endovascular techniques are increasingly being used for treatment of such aneurysms over surgical repair in recent times. A 34-year-old male presented with progressive swelling of the right anterior chest wall for 2 weeks and was diagnosed with right internal thoracic artery aneurysm with contained rupture. He underwent successful endovascular repair with coil embolization of ruptured right ITAA. Post intervention computed tomography (CT) angiography confirmed sealing of the ruptured aneurysm with no residual filling of the sac. At six months follow-up he is doing well with complete resolution of hematoma. This case demonstrates that an endovascular approach with coil embolization is a feasible and safe option for treating the rare ruptured ITAAs.
RESUMO
Resumo Os aneurismas da artéria torácica interna (ITAAs) são raros, com ampla variação na apresentação clínica e alto risco de ruptura. As técnicas endovasculares têm sido cada vez mais utilizadas para o tratamento desses aneurismas em relação ao reparo cirúrgico. Um homem de 34 anos de idade apresentou edema progressivo da parede torácica anterior direita por 2 semanas e foi diagnosticado com aneurisma da artéria mamária interna direita com ruptura contida. Ele foi submetido a reparo endovascular bem-sucedido, com embolização de ITAA direito roto. A angiotomografia computadorizada (angioTC) pós-intervenção confirmou o selamento do aneurisma rompido, sem enchimento residual do saco. No seguimento de 6 meses, ele estava bem, com resolução completa do hematoma. Este caso demonstra que a abordagem endovascular com embolização com molas é uma opção viável e segura no tratamento dos raros ITAAs rotos.
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Full text: Available Index: LILACS (Americas) Main subject: Aneurysm, Ruptured / Embolization, Therapeutic / Endovascular Procedures / Mammary Arteries Limits: Adult / Humans / Male Language: English Journal: J. vasc. bras Journal subject: Cardiology Year: 2022 Type: Article Affiliation country: India Institution/Affiliation country: Post Graduate Institute of Medical Education & Research/IN

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Full text: Available Index: LILACS (Americas) Main subject: Aneurysm, Ruptured / Embolization, Therapeutic / Endovascular Procedures / Mammary Arteries Limits: Adult / Humans / Male Language: English Journal: J. vasc. bras Journal subject: Cardiology Year: 2022 Type: Article Affiliation country: India Institution/Affiliation country: Post Graduate Institute of Medical Education & Research/IN