Tong Ya-Ling, Lu Yuan Qiang, Jiang Jiu-Kun, Chen Nai Yun, Xu Jia
Department of Emergency Medicine, the First Affiliated Hospital, College of Medicine, Zhejiang University, People's Republic of China.
Medicine (Baltimore). 2018 Apr;97(14):e0290. doi: 10.1097/MD.0000000000010290.
Spontaneous rupture of the branches of left subclavian artery (LSA) without any obvious risk factors is rare.
A 51-year-old female patient without history of trauma and hypertension complained about left chest pain.
A chest Computed tomography (CT) scan revealed a large pleural effusion (PE) in the left thorax cavity and hemothorax was confirmed by thoracentesis.
The patient underwent surgery.
spontaneous rupture of the branches of LSAwas confirmed.
The patient recovered well and discharged after timely treatments. The unusual possibility should be paid attention in mind in acute chest pain cases.
左锁骨下动脉(LSA)分支无明显危险因素的自发性破裂很少见。
一名51岁女性患者,无外伤和高血压病史,主诉左胸痛。
胸部计算机断层扫描(CT)显示左胸腔有大量胸腔积液(PE),胸腔穿刺术证实为血胸。
患者接受了手术。
证实为LSA分支自发性破裂。
患者经及时治疗后恢复良好并出院。在急性胸痛病例中应注意这种不寻常的可能性。