Thoracoscopic and endovascular management of retained haemothoarx associated with an intercostal artery pseudoaneurysm.
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Date
2014-01
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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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Keywords
Chest trauma, Haemothorax, Pseudoaneurysm, Thoracoscopy, Decorticaion
Citation
Behera R P, Gouda B, Kulkarni A, Udwadia Z F, Bhandarkar D S. Thoracoscopic and endovascular management of retained haemothoarx associated with an intercostal artery pseudoaneurysm. The Indian Journal of Chest Diseases and Allied Sciences, 2014 Jan; 56(1): 37-40.