Facing a dilemma in the treatment of an internal mammary artery mycotic pseudoaneurysm: coil embolization or surgery? A case report and brief literature review

While aneurysms of the internal mammary artery (IMA) complicate occasionally surgical procedures employing median sternotomy, or are associated with direct thoracic trauma, mycotic pseudoaneurysms of the vessel are rarely reported in the literature. We herein report a case of a 22-year-old man who d...

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Detalles Bibliográficos
Autores principales: Spiliopoulos, Kyriakos, Magouliotis, Dimitrios E, Spanos, Konstantinos, Salemis, Nikolaos S, Tsantsaridou, Angeliki, Karagiorgas, Georgios, Giannoukas, Athanasios D, Rountas, Christos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449557/
https://www.ncbi.nlm.nih.gov/pubmed/32874543
http://dx.doi.org/10.1093/jscr/rjaa271
Descripción
Sumario:While aneurysms of the internal mammary artery (IMA) complicate occasionally surgical procedures employing median sternotomy, or are associated with direct thoracic trauma, mycotic pseudoaneurysms of the vessel are rarely reported in the literature. We herein report a case of a 22-year-old man who developed a mycotic internal mammary artery pseudoaneurysm secondary to staphylococcal chest wall abscesses and was effectively treated by coil embolization. Additionally, the report provides a brief review focusing on the current state of treatment options for internal mammary artery aneurysms.

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