Internal mammary artery pseudoaneurysm: A rare fatal complication of tubercular empyema

Yadav, Mukesh; Bhatia, Anmol; Kumar, Susheel; Khandelwal, Niranjan

doi:10.4103/0970-2113.120615

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…The internal thoracic artery (ITA) is a relatively large artery with an average flow of 60 ml/min [ 10 ], which, under different conditions, can increase to up to 175 ml/min [ 11 , 12 ]. Therefore, its injury can cause anything from intense bleeding to death of the patient.…”

Section: Discussionmentioning

confidence: 99%

Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case report

Franciosi,

Rodrigues,

de Oliveira

et al. 2024

Trauma Case Reports

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Section: Discussionmentioning

confidence: 99%

Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case report

Franciosi,

Rodrigues,

de Oliveira

et al. 2024

Trauma Case Reports

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“…IMA pseudoaneurysms caused by chest wall infections (e.g. Staphylococcus, Tuberculosis, Actinomycosis , or fungal) are rarer [ 43 ]. Only a few cases have been reported previously [ 42 - 47 ].…”

Section: Discussionmentioning

confidence: 99%

“…Staphylococcus, Tuberculosis, Actinomycosis, or fungal) are rarer [43]. Only a few cases have been reported previously [42][43][44][45][46][47]. Endovascular embolisation is an effective and safe alternative to surgical treatment [47].…”

mentioning

confidence: 99%

Non-bronchial causes of haemoptysis: imaging and interventions

et al. 2020

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Purpose: To describe non-bronchial causes of haemoptysis on imaging and the role of interventional radiology in their management from cases of haemoptysis archived from our database at a tertiary care, federally funded institution. Material and methods: Retrospective analysis of cases that presented with haemoptysis in our institution from 2008 to 2013 was done, and details of cases in which the bleeding was from a non-bronchial source were archived and details of imaging and treatment were recorded. Results: Retrospective analysis of patients presenting with haemoptysis yielded 24 (n = 24) patients having haemoptysis from non-bronchial sources. Causes of haemoptysis were: Rasmussen aneurysms (n = 12/24), costocervical trunk pseudoaneurysm (n = 1/24), left internal mammillary artery pseudoaneurysm (n = 1/24), left ventricular aneurysms (n = 3/24), pulmonary arteriovenous malformations (AVMs) (n = 5/24), and proximal interruption of pulmonary artery (n = 2/24). Imaging and interventional radiology management are described in detail. Conclusions: Haemoptysis can be from non-bronchial sources, which may be either from systemic or pulmonary arteries or cardio-pulmonary fistulas. Bronchial computed tomography angiography (CTBA), if feasible, must always be considered before bronchial artery embolisation because it precisely identifies the source of haemorrhage and vascular anatomy that helps the interventional radiologist in pre-procedural planning. This circumvents chances of re-bleed if standard bronchial artery embolisation is done without CTBA.

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“…Mycotic pseudoaneurysm of internal mammary artery (IMA) is a sparsely reported vascular complication. 1 We herein report a rare case of IMA pseudoaneurysm due to the tubercular empyema in a child. IMA pseudoaneurysm commonly results from sternotomy, catheter insertion, central venous lines into subclavian vessels, or penetrating chest trauma such as stab injury.…”

Section: Introductionmentioning

confidence: 89%

“…We report a rare case of IMA pseudoaneurysm due to the tubercular empyema in a patient with massive hemoptysis who was treated by endovascular coil embolization; however, the patient died due to refractory shock. 1 . In our index case, we report a similar entity, but we managed with percutaneous embolization and child is stable, doing well on follow-up.…”

Section: Review Of Literaturementioning

confidence: 99%

Mycotic Pseudoaneurysm of the Internal Mammary Artery: An Unusual Complication of Tuberculosis—Managed with Percutaneous Glue Embolization

Mittal,

Ganesan,

Vats

et al. 2024

Journal of Clinical Interventional Radiology ISVIR

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Tuberculosis is still an endemic in many parts of the world. Vascular complications have been described in patients with tuberculosis and in aggressive chest infections such as actinomycoses. Etiology of internal mammary artery pseudoaneurysms includes iatrogenic causes or a complication of infection (mycotic aneurysm). Early diagnosis and treatment of these aneurysms are key to prevent complications such as hemorrhage, hemothorax, and hemorrhagic shock. In this case report, we describe the presentation and management of a 11-year-old patient with tuberculosis, who developed an internal mammary artery pseudoaneurysm during the course of treatment. We describe the case of a 11-year-old girl with known tuberculosis who developed a left internal mammary artery pseudoaneurysm, and treated with percutaneous ultrasound-guided glue embolization.

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Internal mammary artery pseudoaneurysm: A rare fatal complication of tubercular empyema

Cited by 6 publications

References 10 publications

Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case report

Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case report

Non-bronchial causes of haemoptysis: imaging and interventions

Mycotic Pseudoaneurysm of the Internal Mammary Artery: An Unusual Complication of Tuberculosis—Managed with Percutaneous Glue Embolization

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