Thoracoscopic and endovascular management of retained haemothoarx associated with an intercostal artery pseudoaneurysm.
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ABSTRACT
Intercostal artery pseudoaneurysm (IAP) is a rare entity and may complicate a percutaneous intervention through an intercostal space or follow thoracic trauma. Its rupture into the pleural space can give rise to haemothorax, which if untreated may lead to a retained haemothorax (RH). Traditionally both the IAP and the RH are managed by a thoracotomy. We report a patient who developed an IAP with haemothorax following a trauma. The diagnosis was established by computed tomography. The patient was treated by endovascular embolisation of the IAP followed by thoracoscopic decortications of the RH.
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Assunto principal:
Traumatismos Torácicos
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Toracoscopia
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Ferimentos Perfurantes
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Humanos
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Masculino
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Músculos Intercostais
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Tomografia Computadorizada por Raios X
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Fatores de Risco
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Seguimentos
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Resultado do Tratamento
Tipo de estudo:
Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article