Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Yajima, Hisao, Tokue, Hiroyuki, Mori, Mizuki, Aramaki, Yuto, Sawada, Yusuke, Nakajima, Jun, Murata, Masato, Oshima, Kiyohiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
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
_version_ 1783717535242256384
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
work_keys_str_mv AT yajimahisao successfulinterventionalmanagementofmediastinalhematomacausedbythyroidimaarteryinjury
AT tokuehiroyuki successfulinterventionalmanagementofmediastinalhematomacausedbythyroidimaarteryinjury
AT morimizuki successfulinterventionalmanagementofmediastinalhematomacausedbythyroidimaarteryinjury
AT aramakiyuto successfulinterventionalmanagementofmediastinalhematomacausedbythyroidimaarteryinjury
AT sawadayusuke successfulinterventionalmanagementofmediastinalhematomacausedbythyroidimaarteryinjury
AT nakajimajun successfulinterventionalmanagementofmediastinalhematomacausedbythyroidimaarteryinjury
AT muratamasato successfulinterventionalmanagementofmediastinalhematomacausedbythyroidimaarteryinjury
AT oshimakiyohiro successfulinterventionalmanagementofmediastinalhematomacausedbythyroidimaarteryinjury