Kamada Keisuke, Kitahara Hiroto, Koichi Yuta, Wakabayashi Naohiro, Ise Hayato, Tanaka Chiharu, Nakanishi Sentaro, Ishikawa Natsuya, Kamiya Hiroyuki
Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan.
J Surg Case Rep. 2019 Jun 14;2019(6):rjz187. doi: 10.1093/jscr/rjz187. eCollection 2019 Jun.
The first case of late thoracic wall bleeding after minimally invasive mitral valve repair treated by endovascular therapy is reported. A 55-year-old woman underwent mitral valve repair and tricuspid annuloplasty through a mini-thoracotomy approach. Her postoperative course was uneventful until she had anemia one week after the surgery. Contrast-enhanced computed tomography showed right hemothorax due to bleeding from a branch of the right lateral thoracic artery. Endovascular coil embolization and gelatin sponge injection were performed. The patient was discharged without any complications on postoperative day 20.