Case Report

General Thoracic and Cardiovascular Surgery

, Volume 62, Issue 11, pp 696-699

Repeated embolization of intercostal arteries after blunt chest injury

  • Chiaki NemotoAffiliated withDepartment of Emergency and Critical Care Medicine, Fukushima Medical University School of Medicine Email author 
  • , Yukihiro IkegamiAffiliated withDepartment of Emergency and Critical Care Medicine, Fukushima Medical University School of Medicine
  • , Tsuyoshi SuzukiAffiliated withDepartment of Emergency and Critical Care Medicine, Fukushima Medical University School of Medicine
  • , Yasuhiko TsukadaAffiliated withDepartment of Emergency and Critical Care Medicine, Fukushima Medical University School of Medicine
  • , Yoshinobu AbeAffiliated withDepartment of Emergency and Critical Care Medicine, Fukushima Medical University School of Medicine
  • , Jiro ShimadaAffiliated withDepartment of Emergency and Critical Care Medicine, Fukushima Medical University School of Medicine
  • , Choichiro TaseAffiliated withDepartment of Emergency and Critical Care Medicine, Fukushima Medical University School of Medicine

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Abstract

To deal with an arterial bleeding from the chest wall after a blunt chest injury, embolization of the bleeding arteries can be a valuable therapeutic option, which is less invasive than a thoracotomy. However, its results are variable, being highly operator-dependent. In the present case, we performed successful emergency embolization of the 4th and 5th intercostal arteries for persistent hemorrhage following blunt trauma to the chest. Several days after the first embolization, secondary embolization was required for treating a pseudoaneurysm that was formed in the 5th intercostal artery. Although the mechanisms underlying pseudoaneurysm formation are not clearly understood, its rupture is potentially fatal. Therefore, it is essential to carefully follow-up patients who experience blunt chest injury to avoid this serious complication.

Keywords

Blunt chest injury Embolization Hemothorax Pseudoaneurysm