CardioVascular and Interventional Radiology

, Volume 28, Issue 1, pp 120–123 | Cite as

An Arteriovenous Fistula Between the Internal Mammary Artery and the Pulmonary Vein Following Blunt Chest Trauma

  • T. Ito
  • Toshihisa Sakamoto
  • Hirofumi Norio
  • Tatsumi Kaji
  • Yoshiaki Okada


A 67-year-old man suffered a traffic accident and was transferred to an emergency hospital close to the scene. He was diagnosed to have bilateral pneumohemothorax with a lung contusion, an anterior fracture dislocation of the C6-vertebra and a cervical cord injury at the level of C7. On the 48th day, massive hemoptysis was suddenly recognized. He was transferred in a state of shock to our hospital to undergo hemostasis for the bleeding. On the day of admission, a selective arteriogram showed extravasation from the left bronchial artery, for which embolization was carried out using Gelfoam. In spite of this treatment, his hemoptysis continued. On the next day, a selective left internal mammary arteriogram showed an arteriovenous fistula between the left internal mammary artery and the left pulmonary vein without any apparent extravasation. The arteriovenous fistula was successfully embolized using platinum fiber coils. The patient no longer demonstrated any hemoptysis after embolization.

Hemoptysis—Internal mammary artery—Pulmonary vein—Traumatic arteriovenous fistula 


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Copyright information

© Springer-Verlag New York, LLC. 2004

Authors and Affiliations

  • T. Ito
    • 1
  • Toshihisa Sakamoto
    • 1
  • Hirofumi Norio
    • 1
  • Tatsumi Kaji
    • 2
  • Yoshiaki Okada
    • 1
  1. 1.Department of Traumatology and Critical Care MedicineNational Defense Medical CollegeSaitamaJapan
  2. 2.Department of RadiologyNational Defense Medical CollegeSaitamaJapan

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