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Successful interventional management of mediastinal hematoma caused by thyroid ima artery injury
BACKGROUND: The thyroid ima artery (ThIA) is a rare anatomical anomaly, commonly branching from the brachiocephalic artery. Thyroid ima artery injury can cause severe mediastinal hematoma because its descending branch extends into the mediastinum. CASE PRESENTATION: A 91‐year‐old man presented with...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253541/ https://www.ncbi.nlm.nih.gov/pubmed/34262780 http://dx.doi.org/10.1002/ams2.680 |
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author | Yajima, Hisao Tokue, Hiroyuki Mori, Mizuki Aramaki, Yuto Sawada, Yusuke Nakajima, Jun Murata, Masato Oshima, Kiyohiro |
author_facet | Yajima, Hisao Tokue, Hiroyuki Mori, Mizuki Aramaki, Yuto Sawada, Yusuke Nakajima, Jun Murata, Masato Oshima, Kiyohiro |
author_sort | Yajima, Hisao |
collection | PubMed |
description | BACKGROUND: The thyroid ima artery (ThIA) is a rare anatomical anomaly, commonly branching from the brachiocephalic artery. Thyroid ima artery injury can cause severe mediastinal hematoma because its descending branch extends into the mediastinum. CASE PRESENTATION: A 91‐year‐old man presented with syncope after a motor vehicle accident. A bruise on the chest was evident. Contrast‐enhanced computed tomography revealed a massive mediastinal hematoma with signs of active hemorrhage. Injury to a descending branch of the ThIA was indicated. Transcatheter arterial embolization (TAE) was successful in stopping the bleeding. CONCLUSIONS: Although a ThIA injury is rare, it can cause serious mediastinal hematoma. Thyroid ima artery injury should be considered as a cause of traumatic mediastinal hematoma. Transcatheter arterial embolization for traumatic ThIA injury is considered a safe and effective treatment. |
format | Online Article Text |
id | pubmed-8253541 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-82535412021-07-13 Successful interventional management of mediastinal hematoma caused by thyroid ima artery injury Yajima, Hisao Tokue, Hiroyuki Mori, Mizuki Aramaki, Yuto Sawada, Yusuke Nakajima, Jun Murata, Masato Oshima, Kiyohiro Acute Med Surg Case Report BACKGROUND: The thyroid ima artery (ThIA) is a rare anatomical anomaly, commonly branching from the brachiocephalic artery. Thyroid ima artery injury can cause severe mediastinal hematoma because its descending branch extends into the mediastinum. CASE PRESENTATION: A 91‐year‐old man presented with syncope after a motor vehicle accident. A bruise on the chest was evident. Contrast‐enhanced computed tomography revealed a massive mediastinal hematoma with signs of active hemorrhage. Injury to a descending branch of the ThIA was indicated. Transcatheter arterial embolization (TAE) was successful in stopping the bleeding. CONCLUSIONS: Although a ThIA injury is rare, it can cause serious mediastinal hematoma. Thyroid ima artery injury should be considered as a cause of traumatic mediastinal hematoma. Transcatheter arterial embolization for traumatic ThIA injury is considered a safe and effective treatment. John Wiley and Sons Inc. 2021-07-02 /pmc/articles/PMC8253541/ /pubmed/34262780 http://dx.doi.org/10.1002/ams2.680 Text en © 2021 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Report Yajima, Hisao Tokue, Hiroyuki Mori, Mizuki Aramaki, Yuto Sawada, Yusuke Nakajima, Jun Murata, Masato Oshima, Kiyohiro Successful interventional management of mediastinal hematoma caused by thyroid ima artery injury |
title | Successful interventional management of mediastinal hematoma caused by thyroid ima artery injury |
title_full | Successful interventional management of mediastinal hematoma caused by thyroid ima artery injury |
title_fullStr | Successful interventional management of mediastinal hematoma caused by thyroid ima artery injury |
title_full_unstemmed | Successful interventional management of mediastinal hematoma caused by thyroid ima artery injury |
title_short | Successful interventional management of mediastinal hematoma caused by thyroid ima artery injury |
title_sort | successful interventional management of mediastinal hematoma caused by thyroid ima artery injury |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253541/ https://www.ncbi.nlm.nih.gov/pubmed/34262780 http://dx.doi.org/10.1002/ams2.680 |
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