Korean J Thorac Cardiovasc Surg.  2016 Apr;49(2):130-133. 10.5090/kjtcs.2016.49.2.130.

Staged Management of a Ruptured Internal Mammary Artery Aneurysm

• Kwon OY
• Kim GJ
• Oh TH
• Lee YO
• Lee SC
• Cho JY

• KMID: 2161811
• DOI: http://doi.org/10.5090/kjtcs.2016.49.2.130

Abstract

The rupture of an internal mammary artery (IMA) aneurysm in a patient with type 1 neurofibromatosis (NF-1) is a rare but life-threatening complication requiring emergency management. A 50-year-old man with NF-1 was transferred to the emergency department of Kyungpook National University Hospital, where an IMA aneurysmal rupture and hemothorax were diagnosed and drained. The IMA aneurysmal rupture and hemothorax were successfully repaired by staged management combining endovascular treatment and subsequent video-assisted thoracoscopic surgery (VATS). The patient required cardiopulmonary cerebral resuscitation, the staged management of coil embolization, and a subsequent VATS procedure. This staged approach may be an effective therapeutic strategy in cases of IMA aneurysmal rupture.

Keyword

Hemothorax; Endovascular procedures; Surgery

MeSH Terms

Aneurysm*
Embolization, Therapeutic
Emergencies
Emergency Service, Hospital
Endovascular Procedures
Gyeongsangbuk-do
Hemothorax
Humans
Mammary Arteries*
Middle Aged
Neurofibromatosis 1
Resuscitation
Rupture
Thoracic Surgery, Video-Assisted