Literature Review for the Management of Isolated Internal Mammary Artery Injury and a Case Managed by Mini-Thoracotomy  

作　　者：Mohammad Miah Mauin Uddin Jalal Bin Saeid Syed Al Nahian Anwar Karim Ahmed Ashoub 

机构地区：[1]Queen Elizabeth Hospital Birmingham (QEHB), Birmingham, UK [2]New Cross Hospital, Wolverhampton, UK [3]Liverpool Heart and Chest Hospital, Liverpool, UK

出　　处：《World Journal of Cardiovascular Surgery》2019年第8期83-88,共6页心血管外科国际期刊（英文）

摘　　要：Penetrating injuries to anterior chest may result in life-threatening complications such as massive haemothorax,?as a result of injury to the internal mammary artery.?Isolated internal mammary injury is a very rare cause of massive haemothorax and associated with high mortality.?We are presenting this?32-year-old gentleman who sustained a thoracic stab wound and had an emergency right anterior mini-thoracotomy?by extending the stab wound rather than standard thoracotomy or sternotomy.?This case of isolated penetrating IMA injury managed with mini-thoracotomy is the only documented case so far. We are publishing this case report with patient’s both written and informed consent and institutional approval.?This potentially life-threating injury can be managed by mini-thoracotomy with enhanced recovery;however, it is case specific and needs proper judgement.Penetrating injuries to anterior chest may result in life-threatening complications such as massive haemothorax,?as a result of injury to the internal mammary artery.?Isolated internal mammary injury is a very rare cause of massive haemothorax and associated with high mortality.?We are presenting this?32-year-old gentleman who sustained a thoracic stab wound and had an emergency right anterior mini-thoracotomy?by extending the stab wound rather than standard thoracotomy or sternotomy.?This case of isolated penetrating IMA injury managed with mini-thoracotomy is the only documented case so far. We are publishing this case report with patient’s both written and informed consent and institutional approval.?This potentially life-threating injury can be managed by mini-thoracotomy with enhanced recovery;however, it is case specific and needs proper judgement.

关 键 词：Internal MAMMARY ARTERY (IMA) Mini-Thoracotomy Massive HAEMOTHORAX External Cardiac TAMPONADE 

分 类 号：R73[医药卫生—肿瘤]