Coil Embolization for Spontaneous Rupture of the Left Internal Mammary Artery Secondary to Lupus Vasculitis

Pineda, Andrés M.; Valdez, Gerson D.; Mihos, Christos G.; Santana, Orlando; Beohar, Nirat

doi:10.1016/j.jacc.2013.08.1649

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2023

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“…However, to our knowledge, there have been no reports of spontaneous rupture of the internal thoracic artery or mediastinal hematoma in patients with cirrhosis. During the literature review, we found a single case report of a large anterior mediastinal hematoma due to spontaneous internal thoracic artery rupture in a patient with underlying lupus vasculitis ( 9 ); similar to our case, the patient was successfully treated with coil embolization.…”

Section: Discussionsupporting

confidence: 76%

Spontaneous Rupture of the Internal Thoracic Artery Causing a Mediastinal Hematoma in a Patient with Alcoholic Liver Cirrhosis: A Case Report

Park

Kang

Park³

2023

J Korean Soc Radiol

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Spontaneous arterial bleeding is uncommon, and a mediastinal hematoma caused by spontaneous rupture of the internal thoracic artery has not been reported previously. Patients with liver cirrhosis or heavy alcohol consumption have a higher risk of hemorrhage than those without cirrhosis or excessive alcohol consumption. We present the case of a 39-year-old female with a history of alcoholic liver cirrhosis, who presented with a large mediastinal hematoma attributable to spontaneous rupture of the internal thoracic artery.

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Section: Discussionsupporting

confidence: 76%