Massive hemothorax due to rupture of internal thoracic artery aneurysm after vaginal delivery

Morimatsu, Yoshitaka; Koga, Takeharu; Akiyoshi, Hiroya; Koganemaru, Masamichi; Sakamoto, Teruo; Aizawa, Hisamichi

doi:10.1080/00016340600618120

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Pregnancy has been reportedly associated with the development of aneurysms, presumably due to the associated hemodynamic and hormonal changes [10,11]. However, ITA aneurysms in perinatal women have rarely been reported.…”

Section: Discussionmentioning

confidence: 99%

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Life-threatening hemoptysis accompanied by internal thoracic artery aneurysms in a 28-year-old perinatal woman: a case report

Wang

Liang

et al. 2021

BMC Pulm Med

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Background Life-threatening hemoptysis presents an immediate diagnostic and therapeutic challenge, especially during the perinatal period. Case presentation A 28-year-old perinatal woman with no significant past medical or surgical history presented with repeating hemoptysis and respiratory failure. Computed tomography revealed a 2.1 × 3.2 cm2 inhomogeneous tumorous lesion in the right superior mediastinum and a right main bronchus obstruction along with atelectasis of the right lung. Bronchoscopy showed a tumorous protrusion blocking the right main bronchus with active hemorrhage, and malignancy was suspected. Bronchial artery embolization (BAE) was performed to control the bleeding. The arteriogram revealed tortuosity, dilation and hypertrophy of the right bronchial arteries and aneurysms of the internal thoracic artery (ITA). The bleeding completely stopped after BAE. Bronchoscopy was performed again to remove residual blood clots. The patient recovered soon after the procedure and was discharged. Conclusions Life-threatening hemoptysis concomitant with ITA aneurysms, which may have a misleading clinical diagnosis and treatment options, has not been reported previously in perinatal women. BAE could be used as a first-line treatment irrespective of the underlying causes.

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Section: Discussionmentioning

confidence: 99%

“…However, ITA aneurysms in perinatal women have rarely been reported. Morimatsu et al [10] reported a patient with life-threatening massive hemothorax due to the rupture of an ITA aneurysm after a vaginal delivery. However, there was no evidence linking the ITA aneurysm and the hemoptysis in this patient.…”

Section: Discussionmentioning

confidence: 99%

Life-threatening hemoptysis accompanied by internal thoracic artery aneurysms in a 28-year-old perinatal woman: a case report

Wang

Liang

et al. 2021

BMC Pulm Med

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“…Chez les femmes porteuses de cette vascularite, le risque de poussée de la maladie est de 25% au cours de la grossesse [ 7 ], mais le risque de survenue d’hémothorax n’a jamais été rapporté dans la littérature, à la limite de notre recherche bibliographique. L’hypothèse qui pourrait expliquer la survenue d’hémothorax dans le cadre d’une vascularite au cours de la grossesse, est l’état de stress vasculaire important dû aux changements hormonaux qui se produisent chez la femme enceinte [ 8 ]. De plus la possibilité de survenue d’anévrysmes vasculaires et de ruptures vasculaires augmente quand l’âge gestationnel avance.…”

Section: Discussionunclassified

Hémothorax spontané révélant une vascularite de Wegener chez une femme enceinte

Serhane¹,

Msougar²,

Àmro³

2016

Pan Afr Med J

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L’hémothorax spontané demeure une pathologie rare. Ses étiologies sont multiples mais restent parfois inconnues. Chez certains patients, la thoracotomie peut être le seul recours pour déterminer son origine. Les vascularites n’ont pas été rapporté comme cause habituelle des hémothorax spontanés. La grossesse ne semble pas avoir d’effet causal, ni aggravant des hémothorax spontanés, ni des vascularites. Nous rapportons une observation assez particulière d’une jeune patiente, présentant au cours de sa grossesse un hémothorax spontané secondaire à une vasularite de type Wegener, diagnostiquée par la biopsie pleurale faite au cours d’une thoracotomie exploratrice et confirmée par le dosage des ANCA.

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Successful n-butyl cyanoacrylate embolization of a spontaneous rupture of the internal mammary artery in a patient with myelodysplastic syndrome: report of a case

et al. 2012

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Massive hemothorax due to rupture of internal thoracic artery aneurysm after vaginal delivery

Cited by 4 publications

References 6 publications

Life-threatening hemoptysis accompanied by internal thoracic artery aneurysms in a 28-year-old perinatal woman: a case report

Life-threatening hemoptysis accompanied by internal thoracic artery aneurysms in a 28-year-old perinatal woman: a case report

Hémothorax spontané révélant une vascularite de Wegener chez une femme enceinte

Successful n-butyl cyanoacrylate embolization of a spontaneous rupture of the internal mammary artery in a patient with myelodysplastic syndrome: report of a case

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