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Massive Hemothorax Following Transradial Coronary Angioplasty
Ankit Jain1, Aakash Vijay1, Anil Yadav1
1Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, IND.
Cureus
|April 8, 2025
Summary
Hemothorax is a rare complication after coronary angioplasty. This case highlights successful conservative management of massive hemothorax following myocardial infarction treatment.
Area of Science:
- Cardiology
- Thoracic Surgery
Background:
- Coronary angioplasty is a common procedure for myocardial infarction.
- Hemothorax is an uncommon but serious complication following cardiac interventions.
Observation:
- A young adult with anterior wall myocardial infarction developed massive right-sided hemothorax post-coronary angioplasty.
- Clinical suspicion was confirmed by chest radiograph and contrast-enhanced computed tomography (CECT).
Findings:
- Selective angiography ruled out injury to major arteries like the right subclavian and internal mammary arteries.
- No specific perforation or bleeding site was identified.
- Conservative management with intercostal drainage and blood transfusion proved successful.
Implications:
- This case underscores the importance of considering hemothorax as a differential diagnosis after coronary angioplasty.
- Conservative management can be effective even in massive hemothorax when the bleeding source is unclear.
- Further literature review is warranted for understanding and managing this rare complication.
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