Jain Ankit, Vijay Aakash, Yadav Anil, Kumar Devesh, Ansari Anwar
Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, IND.
Cureus. 2025 Mar 7;17(3):e80236. doi: 10.7759/cureus.80236. eCollection 2025 Mar.
Hemothorax is a rare complication following coronary angioplasty. We report a case of a young adult who presented with anterior wall myocardial infarction, underwent coronary angioplasty, and subsequently developed massive right-sided hemothorax. It was suspected clinically and a chest radiograph and contrast-enhanced computer tomography (CECT) of the thorax confirmed the diagnosis. Injury to the right subclavian and right internal mammary arteries was subsequently ruled out by selective angiography. Despite our best efforts, we could not find any evidence of perforation or any bleeding site; therefore, the patient was successfully managed conservatively with intercostal drainage (ICD) and blood transfusion. We review this rare complication and its differentials and briefly discuss the literature.
血胸是冠状动脉血管成形术后一种罕见的并发症。我们报告一例年轻成人病例，该患者出现前壁心肌梗死，接受了冠状动脉血管成形术，随后发生了大量右侧血胸。临床上怀疑为此病，胸部X线片和胸部增强计算机断层扫描（CECT）确诊了该诊断。随后通过选择性血管造影排除了右锁骨下动脉和右乳内动脉损伤。尽管我们尽了最大努力，但未发现任何穿孔或出血部位的证据；因此，该患者通过肋间引流（ICD）和输血成功地接受了保守治疗。我们回顾了这一罕见并发症及其鉴别诊断，并简要讨论了相关文献。
