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Innominate artery injury from disseminated tuberculosis
Oliver S Chow1, Joe T Huang1, Justin T Sambol1
1Rutgers New Jersey Medical School, Newark, NJ, USA.
Abstract:
A 49-year-old man presented with chest pain and was found to have hemorrhage and drainage from a chest wound secondary to disseminated tuberculosis involving the sternum and ankle. He then developed acute hemorrhage from an innominate artery pseudoaneurysm originating just below a severely diseased sternoclavicular junction. A staged approach was used to manage his pathology given the life-threatening bleeding and his debilitated condition. He underwent endovascular stent grafting to exclude the pseudoaneurysm, followed by aggressive debridement of the affected sternal area.
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