Delayed presentation of internal mammary artery rupture after blunt chest trauma: characteristic CT and plain x ray findings

Kwon, O‐Yu; Yoo, In Sool; Song, Chang June; Kim, I B; Kim, S W

doi:10.1136/emj.2003.013607

Cited by 22 publications

(15 citation statements)

References 3 publications

(3 reference statements)

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“…Four patients were in shock status before the operation, and the other patient was sent back to the operating room due to massive hemothorax after receiving laparotomy for intra-abdominal bleeding. Fourteen patients underwent surgery after the initial CT scan, including 4 patients for shock (1,12,28), three for extracardiac tamponade (10,16,23), two for massive hemothorax(1), two for both extracardiac tamponade and hemothorax (1,24), one for a large aneurysm (25), one for a foreign body (5), and one for persistent bleeding after pericardiotomy (11). Seven patients underwent surgery after angiography.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Internal Mammary Injury— A Literature Review and Guide for Management

Wu¹,

Liao²,

Liao³

et al. 2020

Preprint

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BackgroundTraumatic internal mammary artery (IMA) injury is a rare but clinically significant injury since it is linked to various troublesome conditions. In this review, we aim to provide a complete description and a practical strategy for managing this injury.MethodsPubMed, Embase, and the Web of Science were searched from 1960 to 2019. We also reviewed IMA injuries in our hospital. Only traumatic IMA injuries were included. The demographics, diagnostic procedures, treatments and outcomes were recorded and analyzed.ResultsThere were a total of 72 IMA injury cases, including 4 in our hospital. The injuries were predominantly in males (79.2%), were on the left side (66.7%), were considered blunt injuries (63.9%), and featured mediastinal hematoma (62.5%). Computed tomography (CT) has been used to diagnose IMA injuries in recent years. Most patients could be managed by nonsurgical treatments (61.2%). The outcome for IMA injury is very good, with low morbidity and mortality rates.ConclusionsIdentifying traumatic IMA injuries requires alertness from the physicians. An appropriate management chosen according to the patient’s individualized condition could lead to a satisfying result.Trial registration: not applicable

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Section: Discussionmentioning

confidence: 99%

Traumatic Internal Mammary Injury— A Literature Review and Guide for Management

Wu¹,

Liao²,

Liao³

et al. 2020

Preprint

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“…As noted from the above, the presentation of internal-mammary injury varies from relatively stable patient that can be studied in a timely manner to identify the source of hemothorax, to a delayed presentation of massive hemothorax that mandate thoracotomy [11,12] . The treatment depends on patient hemodynamic status.…”

Section: Discussionmentioning

confidence: 99%

Emergency Thoracotomy- Isolated Internal Thoracic Artery Injury

Islam¹,

Shah²

2014

Surgery

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“…Others have described internal mammary injury that had occurred from central line insertion [10]. The presentation of internal mammary injury varies from relatively stable patient that can be studied in a timely manner to identify the source of hemothorax, to a delayed presentation of massive hemothorax that mandate thoracotomy [11, 12]. Many treatment options have been described so far, but all depends on the hemodynamic status of the injured patients.…”

Section: Discussionmentioning

confidence: 99%

Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the Literature

Hassani

Rahman

Kanbar

et al. 2012

Case Reports in Surgery

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Background. Penetrating injuries to the chest and in particular to the heart that results in pericardial tamponade and cardiac arrest requires immediate resuscitative thoracotomy as the only lifesaving technique and should be performed without delay. Objective. To describe an external cardiac tamponade caused by massive tension hemothorax from penetrating injury of the left internal mammary artery (LIMA). Method. A case presentation treated at the Level I trauma center at Hamad General Hospital, in Doha, Qatar and review of the literature on LIMA injuries reported cases. Results. LIMA injury as a cause of hemothorax is not uncommon, but to our knowledge our case is the first massive tension hemothorax with witnessed cardiac arrest reported in the literature requiring emergency thoracotomy, performed in trauma room, with full recovery. Conclusion. Injury to the LIMA with massive tension hemothorax requires immediate resuscitative thoracotomy.

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Delayed presentation of internal mammary artery rupture after blunt chest trauma: characteristic CT and plain x ray findings

Cited by 22 publications

References 3 publications

Traumatic Internal Mammary Injury— A Literature Review and Guide for Management

Traumatic Internal Mammary Injury— A Literature Review and Guide for Management

Emergency Thoracotomy- Isolated Internal Thoracic Artery Injury

Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the Literature

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