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KMID : 0364020160490020130
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Korean Journal of Thoracic and Cardiovascular Surgery
2016 Volume.49 No. 2 p.130 ~ p.133
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Staged Management of a Ruptured Internal Mammary Artery Aneurysm
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Kwon O-Young
Kim Gun-Jik
Oh Tak-Hyuk
Lee Young-Ok
Lee Sang-Cjeol
Cho Jun-Yong
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Abstract
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The rupture of an internal mammary artery (IMA) aneurysm in a patient with type 1 neurofibromatosis (NF-1) is a rare but life-threatening complication requiring emergency management. A 50-year-old man with NF-1 was transferred to the emergency department of Kyungpook National University Hospital, where an IMA aneurysmal rupture and hemothorax were diagnosed and drained. The IMA aneurysmal rupture and hemothorax were successfully repaired by staged management combining endovascular treatment and subsequent video-assisted thoracoscopic surgery (VATS). The patient required cardiopulmonary cerebral resuscitation, the staged management of coil embolization, and a subsequent VATS procedure. This staged approach may be an effective therapeutic strategy in cases of IMA aneurysmal rupture.
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KEYWORD
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Hemothorax, Endovascular procedures, Surgery
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