Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Extraplerual and Mediastinal Hematoma Caused by Injury to the Internal Mammary Artery after Blunt Chest Trauma - A case report -

흉부둔상으로 인한 내유동맥손상으로 발생한 흉막외혈종과 종격동혈종 - 1예 보고 -

  • Choi, Chang-Seock (Department of Thoracic and Cardiovascular Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Han-Yong (Department of Thoracic and Cardiovascular Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Myoung-Young (Department of Thoracic and Cardiovascular Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Park, Jae-Hong (Department of Thoracic and Cardiovascular Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 최창석 (성균관대학교 의과대학 마산삼성병원 흉부외과학교실) ;
  • 김한용 (성균관대학교 의과대학 마산삼성병원 흉부외과학교실) ;
  • 김명영 (성균관대학교 의과대학 마산삼성병원 흉부외과학교실) ;
  • 박재홍 (성균관대학교 의과대학 마산삼성병원 흉부외과학교실)
  • Published : 2008.02.05
Download PDF
⟨ Previous Next ⟩

Abstract

Injury to the internal mammary artery secondary to blunt chest trauma is a rare condition. It is also uncommon to see extraplerual and mediastinal hematoma in these circumstances; this demands early diagnosis and active treatment. We report here on a 59 year old man who underwent surgery for extraplerual and mediastinal hematoma, and this was all due to injury of the internal mammary artery after blunt chest trauma. We also include a review of the relevant literature.

흉부둔상에 의한 내유동맥의 손상은 매우 드문 경우이다. 또한, 그로 인한 흉막외혈종과 종격동혈종의 발생도 매우 드물며 빠른 진단과 적극적인 치료가 요구된다. 교통사고에 의한 흉부둔상으로 앞가슴통증을 주소로 내원한 59세 남자에서 발생한 내유동맥의 손상으로 인한 흉막외혈종과 종격동혈종 1예를 진단하여 수술치험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Machin VG, Lau OJ. Extrahaematoma secondary to blunt chest trauma. Eur J Cardio Thorac Surg 1995;9:109-10 https://doi.org/10.1016/S1010-7940(05)80031-4
  2. Iragu I, Fulda GJ, Hailstone D, et al. Internal mammary artery injury, anterior mediastinal hematoma, and cardiac compromise after blunt chest trauma. J Trauma 1995;39: 1018-21 https://doi.org/10.1097/00005373-199511000-00038
  3. Wilkinson J, Jacob TD, Armitage J, et al. Avulsion of the internal mammary artery caused by blunt trauma. Ann Emerg Med 1993;22:1762-5 https://doi.org/10.1016/S0196-0644(05)81321-6
  4. Braatz T, Mirvis SE, Killeen K, et al. CT diagnosis of internal mammary artery injury caused by blunt trauma. Clin Radiol 2001;56:120-3 https://doi.org/10.1053/crad.2000.0572
  5. Whigham CJ Jr, Fisher RG, Goodman CJ, et al. Traumatic injury of the internal mammary artery: embolization versus surgical nonoperative management. Emerg Radiol 2002;9: 201-7