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Updated: Dec 11, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Thoracoacromial artery injury after tube thoracostomy for pneumothorax
Shravan Leonard-Murali1, Adhnan Mohamed2, Ann Woodward2
1Surgery, Henry Ford Hospital, Detroit, Michigan, USA smurali1@hfhs.org.
Abstract:
In this case, a patient presented in a delayed fashion after blunt trauma is found to have a large left-sided pneumothorax, and tube thoracostomy is performed. After placement of the apically oriented tube, he developed haemothorax. CT imaging showed an area of questionable extravasation from the left subclavian artery, directly anterior to the thoracostomy tube. His haemothorax was refractory to adequate drainage with a new thoracostomy tube. He ultimately required angiography, coil embolisation and covered stent placement, followed by thoracoscopic evacuation of the haemothorax.
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