Krishna Abhay, Singhania Priti
Department of Cardiology, Brahmananda Narayana Multispeciality Hospital, Jamshedpur, Jharkhand, India.
Heart Views. 2024 Oct-Dec;25(4):264-266. doi: 10.4103/heartviews.heartviews_69_24. Epub 2025 May 10.
We report a case of partially thrombosed pseudoaneurysm of the right internal mammary artery (IMA) in a 20-year-old male, following penetrating chest wall trauma with a steel wire. He presented with a swelling over the anterior aspect of the right side of the chest. Ultrasonography showed that swelling was communicating with the right IMA. Computed tomography angiography of the chest further revealed it to be partially thrombosed pseudoaneurysm of the right IMA. Pseudoaneurysm was successfully treated percutaneously using 2.75 mm × 19 mm coronary stent graft (GraftMaster, Abbott Vascular). This case highlights the successful use of less invasive percutaneous technique for the management of IMA pseudoaneurysm.
我们报告一例20岁男性,因钢丝穿透胸壁创伤后出现右乳内动脉(IMA)部分血栓形成的假性动脉瘤。他右侧胸部前方出现肿胀。超声检查显示该肿胀与右IMA相通。胸部计算机断层血管造影进一步显示为右IMA部分血栓形成的假性动脉瘤。使用2.75 mm×19 mm冠状动脉支架移植物(GraftMaster,雅培血管)经皮成功治疗了假性动脉瘤。该病例突出了采用侵入性较小的经皮技术成功治疗IMA假性动脉瘤。