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Spontaneous hemomediastinum and hemothorax after dissecting bronchial artery aneurysm
Florencio Quero-Valenzuela1, Inmaculada Piedra-Fernández, Sebastián Sevilla-López
1Section of Thoracic Surgery, Hospital Virgen de las Nieves, Avda Fuerzas Armadas s/n, 18001 Granada, Spain. florencioquero@msn.com
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.
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