+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Massive spontaneous hemothorax as a presenting sign of aneurysmal rupture of the internal thoracic artery. A case report



Massive spontaneous hemothorax as a presenting sign of aneurysmal rupture of the internal thoracic artery. A case report



Journal of Cardiovascular Surgery 39(3): 383-385



Massive spontaneous hemothorax is a very uncommon, life-threatening situation. Acute dissection and ruptured aorta can be one of the differential diagnoses, but usually the clinical feature is completely different, and very few patients have survived this event and received medical attention. Among other causes of spontaneous bleeding, some are extremely rare, demanding precise diagnosis and judicial and immediate intervention. We describe a patient who presented with a massive hemothorax. There was no immediately apparent cause. Emergent angiography revealed active bleeding from an extremely unusual source: aneurysmal dilatation of the internal thoracic artery.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 008994353

Download citation: RISBibTeXText

PMID: 9678567


Related references

Massive hemothorax due to rupture of internal thoracic artery aneurysm after vaginal delivery. Acta Obstetricia et Gynecologica Scandinavica 86(4): 504-505, 2007

Endovascular treatment of a ruptured internal thoracic artery pseudoaneurysm presenting as a massive hemothorax in a patient with type I neurofibromatosis. Cardiovascular and Interventional Radiology 28(6): 818-821, 2005

Tension Hemothorax Associated with Spontaneous Rupture of the Thoracic Aorta;Report of a Case. Kyobu Geka. Japanese Journal of Thoracic Surgery 68(9): 789-792, 2015

Spontaneous left hemothorax as the first sign of rupture of a thoracic aorta aneurysm. Archivos de Bronconeumologia 37(2): 101, 2001

Spontaneous rupture of an intra-cavernous internal carotid artery aneurysm presenting with massive epistaxis. Journal of Laryngology and Otology 125(10): 1070-1072, 2011

Delayed hemothorax due to traumatic rupture of the internal mammary artery: a case report. American Surgeon 22(1): 135-138, 1956

Spontaneous rupture of an aneurysmal arteriovenous fistula of the kidney causing massive retroperitoneal hemorrhage: a case report. Hinyokika Kiyo. Acta Urologica Japonica 54(4): 273-275, 2008

Massive right hemothorax due to idiopathic spontaneous rupture of a phrenic artery following cardiac surgery. Revista Espanola de Anestesiologia Y Reanimacion 65(5): 291-293, 2018

An unusual cause of postoperative hemothorax: spontaneous rupture of the internal mammary artery. Praxis und Klinik der Pneumologie 38(10): 469-470, 1984

Spontaneous rupture of a parathyroid adenoma presenting as a massive cervical hemorrhage: report of a case. Surgery Today 31(3): 222-224, 2001

Pathologic-spontaneous-rupture of the spleen as a presenting sign of splenic T-cell lymphoma--case report with review. Hepato-Gastroenterology 46(25): 193-195, 1999

Massive hemothorax resulting from erosion of the left internal thoracic artery by an anterior chest wall tubercular abscess. Indian Journal of Thoracic and Cardiovascular Surgery 32(1): 38-40, 2016

Spontaneous rupture of the thoracic vertebral artery. A case report. La Radiologia Medica 104(3): 236-238, 2002

A rare case of bilateral massive hemothorax from spontaneous rupture of a primary mediastinal mixed germ cell tumor. Annals of Thoracic Surgery 93(2): 664-666, 2012

Bilateral hypoplasia of the internal carotid artery, presenting as a subarachnoid hemorrhage secondary to intracranial aneurysmal formation: a case report. Journal of Medical Case Reports 6: 45, 2012