Hemothorax Due to Rupture of an Aneurysm of a Branch of the Right Subclavian Artery with von Recklinghausen's Disease
Katarao, Y.; Murasawa, M.; Yoshizawa, M.; Ishida, H.; Kuwabara, M.
Kyobu Geka. Japanese Journal of Thoracic Surgery 72(11): 914-917
2019
ISSN/ISBN: 0021-5252 PMID: 31588108 Document Number: 699264
A 52-year-old man with a history of von Recklinghausen's disease presented to our hospital with abrupt onset of right chest and back pain. A contrast-enhanced chest computed tomography (CT) revealed massive right hemothorax, extravasation of the contrast medium at a branch of the right subclavian artery, and a tumor surrounding the second right dorsal rib. Based on findings from emergent angiography, hemothorax secondary to the rupture of an aneurysm of a branch of the right subclavian artery was diagnosed, and transcatheter arterial embolization(TAE) was performed. After hemostasis, intrathoracic hematoma was removed by surgery, and a recurrence of hemothorax did not occur until at least 8 months after the initial TAE procedure.