经皮注射凝血酶治疗胸骨正中切口术后肋间假性动脉瘤

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-12-17 DOI:10.1016/j.jvscit.2024.101714

Jack F. Donaghue BA , Kirthi S. Bellamkonda MD, MSc , Bjoern D. Suckow MD, MS , Jock N. McCullough MD

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引用次数: 0

摘要

肋间动脉假性动脉瘤是胸壁损伤后极为罕见的并发症，无论是外伤还是手术。我们报告一例74岁男性二尖瓣返流和主动脉瓣狭窄，经胸骨切开主动脉瓣和二尖瓣置换术。在1个月的随访中，在第6肋间隙胸骨切开术左侧附近发现1厘米的搏动性肿块。对肋间动脉假性动脉瘤的担忧促使超声检查，证实假性动脉瘤起源于肋间动脉。超声引导下的凝血酶注射治疗了这个位置异常的假性动脉瘤。

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Intercostal pseudoaneurysm after median sternotomy treated with percutaneous thrombin injection

Intercostal artery pseudoaneurysm is an exceedingly rare complication seen after chest wall insult, either through trauma or operative procedures. We present a case of a 74-year-old man with mitral regurgitation and aortic stenosis who underwent aortic and mitral valve replacement via sternotomy. At the 1-month follow-up, a 1-cm pulsatile mass was noted adjacent to the left of the sternotomy in the sixth intercostal space. Concern for a pseudoaneurysm of the intercostal artery prompted evaluation with ultrasound, which demonstrated a pseudoaneurysm originating from an intercostal artery. This unusually located pseudoaneurysm was treated with ultrasound-guided thrombin injection with complete resolution.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.