Thoracoacromial artery injury after tube thoracostomy for pneumothorax
Recommended Citation
Leonard-Murali S, Mohamed A, Woodward A, and Blyden D. Thoracoacromial artery injury after tube thoracostomy for pneumothorax. BMJ Case Rep 2020; 13(8).
Document Type
Article
Publication Date
8-17-2020
Publication Title
BMJ Case Rep
Abstract
In this case, a patient presented in a delayed fashion after blunt trauma is found to have a large left-sided pneumothorax, and tube thoracostomy is performed. After placement of the apically oriented tube, he developed haemothorax. CT imaging showed an area of questionable extravasation from the left subclavian artery, directly anterior to the thoracostomy tube. His haemothorax was refractory to adequate drainage with a new thoracostomy tube. He ultimately required angiography, coil embolisation and covered stent placement, followed by thoracoscopic evacuation of the haemothorax.
Medical Subject Headings
Adult; Angiography; Chest Tubes; Diagnosis; Differential; Humans; Male; Pneumothorax/diagnostic imaging/etiology/surgery; Radiography; Thoracic Arteries/diagnostic imaging/injuries; Thoracostomy/adverse effects/instrumentation/methods; Tomography; X-Ray Computed; Violence; Wounds; Nonpenetrating/complications/diagnostic imaging; adult intensive care; general surgery; trauma; vascular surgery
PubMed ID
32816885
Volume
13
Issue
8
