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Lateral Thoracic Artery Pseudoaneurysm as a Result of Penetrating Chest Trauma
Journal article   Open access

Lateral Thoracic Artery Pseudoaneurysm as a Result of Penetrating Chest Trauma

Matthew Pontell, Dane Scantling, Jessica Babcock, Alexander Trebelev and Alberto Nunez
Journal of radiology case reports, v 11(1), pp 14-19
Jan 2017
PMID: 28580065
url
https://doi.org/10.3941/jrcr.v11i1.3015View
Published, Version of Record (VoR)CC BY-NC-ND V4.0 Open

Abstract

Aneurysm, False - diagnostic imaging Aneurysm, False - etiology Aneurysm, False - therapy Arteriovenous Fistula - diagnostic imaging Arteriovenous Fistula - etiology Arteriovenous Fistula - therapy Diagnosis, Differential Embolization, Therapeutic - methods Humans Male Middle Aged Radiography, Interventional Thoracic Injuries - diagnostic imaging Thoracic Injuries - etiology Thoracic Injuries - therapy Tomography, X-Ray Computed Vascular System Injuries - diagnostic imaging Vascular System Injuries - etiology Vascular System Injuries - therapy Wounds, Stab - complications
Pseudoaneurysms are potentially fatal complications of vascular trauma; however, they are rarely seen as the sole complication of penetrating injury. We present a case of a pseudoaneurysm with an associated arteriovenous fistula of the left lateral thoracic artery as a result of direct trauma from a knife stab. The patient presented only with a painful, swollen left pectoralis muscle. Upon diagnosis, he was taken to the interventional radiology suite and treated successfully with fluoroscopic guided coil embolization. Cases such as these are infrequent and should encourage more aggressive use of contrast enhanced computed tomography imaging for soft tissue injury, as a missed traumatic pseudoaneurysm may result in life-threatening hemorrhage.

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Web of Science research areas
Radiology, Nuclear Medicine & Medical Imaging
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