Spontaneous hemomediastinum and hemothorax after dissecting bronchial artery aneurysm

• Published in: Interactive cardiovascular and thoracic surgery Vol. 12; no. 4; pp. 619 - 621
• Main Authors: Quero-Valenzuela, Florencio, Piedra-Fernández, Inmaculada, Sevilla-López, Sebastián, de Guevara, Antonio Cueto-Ladrón
• Format: Journal Article
• Language: English
• Published: England European Association for Cardio-Thoracic Surgery 01-04-2011
• Subjects: Aged, 80 and over; Aneurysm, Dissecting - complications; Aneurysm, Dissecting - diagnostic imaging; Aneurysm, Dissecting - therapy; Aneurysm, Ruptured - diagnostic imaging; Aneurysm, Ruptured - etiology; Aneurysm, Ruptured - therapy; Bronchial Arteries - diagnostic imaging; Drainage; Embolization, Therapeutic; Hemorrhage - diagnostic imaging; Hemorrhage - etiology; Hemorrhage - therapy; Hemothorax - diagnostic imaging; Hemothorax - etiology; Hemothorax - therapy; Humans; Mediastinal Diseases - diagnostic imaging; Mediastinal Diseases - etiology; Mediastinal Diseases - therapy; Tomography, X-Ray Computed; Treatment Outcome; Mediastinal bleeding; Spontaneous hemomediastinum; Endovascular treatment; Bronchial artery aneurysm
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1510/icvts.2010.250027

Abstract
Spontaneous hemomediastinum is a rare pathological event due to bleeding disorders, mediastinal organ hemorrhage or idiopathic causes. It usually presents with chest pain and dyspnea, which can lead to confusion with other clinical conditions. The election diagnostic method is computed tomography and treatment depends on underlying etiology, aimed on controlling hemorrhages, if present. In this paper, we present a case of spontaneous hemomediastinum and hemothorax after bronchial artery aneurysm dissection treated with endovascular embolization and chest drainage.