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Intercostal artery pseudoaneurysm after thoracoscopic lung resection
1Department of Thoracic Surgery, Akita Red Cross Hospital, Kamikitate, Akita, Japan. kawai-h@akita-rch.com
A rare ruptured intercostal artery pseudoaneurysm occurred post-lung cancer surgery. Surgical intervention, including aneurysmectomy and artery ligation, successfully treated the condition, leading to patient recovery.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Interventional Radiology
Background:
- Lung cancer treatment often involves thoracic surgery, such as video-assisted thoracoscopic surgery (VATS) for lobectomy.
- Post-operative complications can arise, including vascular issues like pseudoaneurysms.
Observation:
- A 59-year-old woman developed a ruptured intercostal artery pseudoaneurysm following a right upper lobectomy for lung cancer.
- Computed tomography (CT) imaging was crucial for diagnosing the pseudoaneurysm and associated hematoma.
Findings:
- The intercostal artery pseudoaneurysm was successfully treated with aneurysmectomy.
- Proximal artery ligation was performed, and the hematoma was removed during the surgical procedure.
Implications:
- This case highlights a rare but serious complication after VATS lobectomy.
- Prompt diagnosis and surgical management are essential for favorable outcomes in patients with ruptured arterial pseudoaneurysms.
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