Successful endovascular repair with coil embolization of ruptured right internal thoracic artery aneurysm

Abstract

Internal thoracic artery aneurysms (ITAAs) are rare with wide variation in clinical presentation and a high risk of rupture. Endovascular techniques are increasingly being used for treatment of such aneurysms over surgical repair in recent times. A 34-year-old male presented with progressive swelling of the right anterior chest wall for 2 weeks and was diagnosed with right internal thoracic artery aneurysm with contained rupture. He underwent successful endovascular repair with coil embolization of ruptured right ITAA. Post intervention computed tomography (CT) angiography confirmed sealing of the ruptured aneurysm with no residual filling of the sac. At six months follow-up he is doing well with complete resolution of hematoma. This case demonstrates that an endovascular approach with coil embolization is a feasible and safe option for treating the rare ruptured ITAAs.

Effects of Exercise Training and Physical Activity in Patients with Coronary Artery Disease

“…L-EMG must from performed 6 weeks to 6 months after the onset of laryngeal paresis, if any prognostic information is to be gleaned. Mitral, Other Valvular and Left Atria Related Causes (7.81%) 9 Mitral stenosis 18 Pathogenesis: dilated left atrium compressing the recurrent laryngeal nerve Mitral valve prolapse 18 Left atrial myxoma 13 Combined mitral stenosis with mitral regurgitation 14 Pathogenesis: dilated left atrium and pulmonary artery Pulmonary Vascular Causes 9 Eccentric thrombus in right pulmonary artery (right pulmonary artery thrombosis) 19 Pulmonary Hypertension (PH) 19 Acute Pulmonary embolism 21 Cor pulmonale with secondary pulmonary hypertension 21 Pulmonary artery aneurysm 15 Chronic Thromboembolic Pulmonary Hypertension and Giant Pulmonary Artery Aneurysm 17 Penetrating Atherosclerotic ulcers of Aorta 16 Giant cell arteritis saccular aneurysm dilatation after left subclavian artery 15 Left pulmonary artery stenting 21 Endoluminal treatment of a thoracic aortic aneurysm 12 Congenital Cardiac Causes (5.47%) 9 Atrial septal defect 16 Ventricular septal defect 17 Double outlet right ventricle 14 Ductus arteriosus aneurysm 12 Pathogenesis: Direct compression 9 long-standing PDA-hoarseness associated with acute congestive cardiac failure 16 Post-surgical: clip closure, suture ligation, or pressure from an implanted coil 13 Eisenmenger's complex 11 Ebstein's anomaly 16 Patent ductus arteriosus with or without associated patent ductus arteriosus aneurysm 21 Aortopulmonary window 22 Aberrant right subclavian artery (Arteria lusoria) and retroesophageal course (with Dysphagia lusoria) 23 Giant Pulmonary Artery Aneurysm Secondary to Behçet's Disease 12 Double outlet right ventricle 12 is less and there is considerable heterogeneity in the studies, partly due to high variability in the cause and pathogenesis of Ortner's syndrome.…”

“…Mediastinal Causes of Right Recurrent Laryngeal Nerve Paralysis as Reported in the Literature as Ortner's Syndrome. 18,22,23 Common Causes of Right Recurrent Laryngeal Palsy (Like Ortner's Syndrome) Trans-radial cardiac catheterization 22 Tortuosity of right subclavian and innominate arteries preventing any catheter manipulation 22 Sternal retraction after median sternotomy 22 Placement of cervical ECMO for newborn respiratory failure 23 Laryngeal mask airway 23 Traumatic intubation 23 Prolonged intubation 17 Central venous catheter insertion 15 Subclavian venous catheter insertion 23 Transesophageal echocardiography (TEE) probe 22 Following ablation procedures for atrial fibrillation 23…”

Etiopathogenesis of Cardiovocal Syndrome (Ortner’s Syndrome): A Systematic Review of the Literature

“…Mediastinal Causes of Right Recurrent Laryngeal Nerve Paralysis as Reported in the Literature as Ortner's Syndrome. 18,22,23 Common Causes of Right Recurrent Laryngeal Palsy (Like Ortner's Syndrome) Trans-radial cardiac catheterization 22 Tortuosity of right subclavian and innominate arteries preventing any catheter manipulation 22 Sternal retraction after median sternotomy 22 Placement of cervical ECMO for newborn respiratory failure 23 Laryngeal mask airway 23 Traumatic intubation 23 Prolonged intubation 17 Central venous catheter insertion 15 Subclavian venous catheter insertion 23 Transesophageal echocardiography (TEE) probe 22 Following ablation procedures for atrial fibrillation 23…”