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Massive Hemothorax Occurring with Intramural Hematoma of the Descending Aorta in the Early Postpartum Period

Postpartum aortic intramural hematoma (IMH) is a rare but potentially lethal condition. We report a case of aortic IMH with massive hemothorax in a postpartum woman. The patient was a 31-year-old woman who had delivered twins by cesarean section. Two days after delivery, she complained of sudden-ons...

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Autores principales: Yun, Jeong Hee, Jeon, Yeong Jeong, Hong, Tae Hee, Byun, Joung Hun, Hwang, Sang Won, Park, Jae Hong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4825915/
https://www.ncbi.nlm.nih.gov/pubmed/27066436
http://dx.doi.org/10.5090/kjtcs.2016.49.2.122
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author Yun, Jeong Hee
Jeon, Yeong Jeong
Hong, Tae Hee
Byun, Joung Hun
Hwang, Sang Won
Park, Jae Hong
author_facet Yun, Jeong Hee
Jeon, Yeong Jeong
Hong, Tae Hee
Byun, Joung Hun
Hwang, Sang Won
Park, Jae Hong
author_sort Yun, Jeong Hee
collection PubMed
description Postpartum aortic intramural hematoma (IMH) is a rare but potentially lethal condition. We report a case of aortic IMH with massive hemothorax in a postpartum woman. The patient was a 31-year-old woman who had delivered twins by cesarean section. Two days after delivery, she complained of sudden-onset dyspnea. Chest computed tomography revealed a massive left hemothorax. Exploratory thoracotomy was performed, and we found a defect measuring approximately 6 mm in the adventitial layer of the thoracic aorta and an IMH. We repaired the defect primarily, and no more bleeding was observed. The patient was discharged on the 19th postoperative day without any complications.
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spelling pubmed-48259152016-04-08 Massive Hemothorax Occurring with Intramural Hematoma of the Descending Aorta in the Early Postpartum Period Yun, Jeong Hee Jeon, Yeong Jeong Hong, Tae Hee Byun, Joung Hun Hwang, Sang Won Park, Jae Hong Korean J Thorac Cardiovasc Surg Case Report Postpartum aortic intramural hematoma (IMH) is a rare but potentially lethal condition. We report a case of aortic IMH with massive hemothorax in a postpartum woman. The patient was a 31-year-old woman who had delivered twins by cesarean section. Two days after delivery, she complained of sudden-onset dyspnea. Chest computed tomography revealed a massive left hemothorax. Exploratory thoracotomy was performed, and we found a defect measuring approximately 6 mm in the adventitial layer of the thoracic aorta and an IMH. We repaired the defect primarily, and no more bleeding was observed. The patient was discharged on the 19th postoperative day without any complications. The Korean Society for Thoracic and Cardiovascular Surgery 2016-04 2016-04-05 /pmc/articles/PMC4825915/ /pubmed/27066436 http://dx.doi.org/10.5090/kjtcs.2016.49.2.122 Text en Copyright © 2016 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creative-commons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Yun, Jeong Hee
Jeon, Yeong Jeong
Hong, Tae Hee
Byun, Joung Hun
Hwang, Sang Won
Park, Jae Hong
Massive Hemothorax Occurring with Intramural Hematoma of the Descending Aorta in the Early Postpartum Period
title Massive Hemothorax Occurring with Intramural Hematoma of the Descending Aorta in the Early Postpartum Period
title_full Massive Hemothorax Occurring with Intramural Hematoma of the Descending Aorta in the Early Postpartum Period
title_fullStr Massive Hemothorax Occurring with Intramural Hematoma of the Descending Aorta in the Early Postpartum Period
title_full_unstemmed Massive Hemothorax Occurring with Intramural Hematoma of the Descending Aorta in the Early Postpartum Period
title_short Massive Hemothorax Occurring with Intramural Hematoma of the Descending Aorta in the Early Postpartum Period
title_sort massive hemothorax occurring with intramural hematoma of the descending aorta in the early postpartum period
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4825915/
https://www.ncbi.nlm.nih.gov/pubmed/27066436
http://dx.doi.org/10.5090/kjtcs.2016.49.2.122
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