An Arteriovenous Fistula Between the Internal Mammary Artery and the Pulmonary Vein Following Blunt Chest Trauma
- National Defense Medical College, Department of Traumatology and Critical Care Medicine (Japan)
- National Defense Medical College, Department of Radiology (Japan)
A 67-year-old man suffered a traffic accident and was transferred to an emergency hospital close to the scene. He was diagnosed to have bilateral pneumohemothorax with a lung contusion, an anterior fracture dislocation of the C6-vertebra and a cervical cord injury at the level of C7. On the 48th day, massive hemoptysis was suddenly recognized. He was transferred in a state of shock to our hospital to undergo hemostasis for the bleeding. On the day of admission, a selective arteriogram showed extravasation from the left bronchial artery, for which embolization was carried out using Gelfoam. In spite of this treatment, his hemoptysis continued. On the next day, a selective left internal mammary arteriogram showed an arteriovenous fistula between the left internal mammary artery and the left pulmonary vein without any apparent extravasation. The arteriovenous fistula was successfully embolized using platinum fiber coils. The patient no longer demonstrated any hemoptysis after embolization.
- OSTI ID:
- 21088176
- Journal Information:
- Cardiovascular and Interventional Radiology, Vol. 28, Issue 1; Other Information: DOI: 10.1007/s00270-004-9111-y; Copyright (c) 2005 Springer Science+Business Media, Inc.; Article Copyright (c) 2004 Springer-Verlag New York, LLC.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
- Country of Publication:
- United States
- Language:
- English
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