钝性胸部创伤后肋间动脉假性动脉瘤破裂

Ruptured intercostal artery pseudoaneurysm after blunt thoracic trauma.

作者信息

Aoki T, Okada A, Tsuchida M, Hayashi J

机构信息

Division of Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

出版信息

Thorac Cardiovasc Surg. 2003 Dec;51(6):346-7. doi: 10.1055/s-2003-45512.

DOI:10.1055/s-2003-45512

PMID:14669133

Abstract

Here, we present the case of ruptured intercostal artery pseudoaneurysm two months after blunt thoracic trauma. Ruptured aneurysm hemorrhaged into the retroperitoneal space due to adhesion in the intrathoracic space. We unsuccessfully embolized the aneurysm during an angiographic procedure and performed the aneurysmectomy, removing the hematoma, using a retroperitoneal approach. Ruptured intercostal artery pseudoaneurysm after blunt thoracic trauma may have caused the delayed life-threatening hemorrhage.

摘要

在此，我们报告一例钝性胸部创伤两个月后发生的肋间动脉假性动脉瘤破裂病例。由于胸腔内粘连，破裂的动脉瘤向腹膜后间隙出血。我们在血管造影过程中对动脉瘤进行栓塞未成功，随后采用腹膜后入路进行动脉瘤切除术并清除血肿。钝性胸部创伤后肋间动脉假性动脉瘤破裂可能导致延迟性危及生命的出血。