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CASE STUDIES

Post-Sternotomy Hemorrhage due to Left Internal Thoracic Artery Pseudoaneurysm

Satoshi Yamashiro, MD, Yukio Kuniyoshi, MD, Katsuya Arakaki, MD, Hitoshi Inafuku, MD, Yuji Morishima, MD, Yuya Kise, MD

Thoracic and Cardiovascular Surgery Division Department of Bioregulatory Medicine, University of the Ryukyus Okinawa, Japan

Satoshi Yamashiro, MD, Tel: +81 98 895 1168, Fax: +81 98 895 1422, Email: y3104{at}med.u-ryukyu.ac.jp, Thoracic and Cardiovascular Surgery Division, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan.

We describe a case of pseudoaneurysm of the internal thoracic artery, which was probably caused by infection. Four weeks after aortic valve replacement and coronary artery bypass surgery, an 84-year-old woman suddenly developed painful sternal instability and hypotension, with active hemorrhage from a left parasternal swelling. Selective arteriography revealed a pseudoaneurysm of the left internal thoracic artery. It was surgically excised, and the patient recovered uneventfully.

Key Words: Aneurysm • False • Mammary Arteries • Surgical Wound Infection • Sternum

Asian Cardiovasc Thorac Ann 2009; 17:519-521
© 2009 by SAGE Publications
DOI: 10.1177/0218492309348633




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