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A case of spontaneous innominate artery perforation with pericardial tamponade
H G Gutierrez1, N S Alshak, A Kotlewski
1Kaiser Permanente Los Angeles Medical Center, California 90027, USA.
Catheterization and Cardiovascular Diagnosis
|March 1, 1996
Abstract:
We describe a case of a spontaneously occurring innominate artery perforation which, rather than resulting in immediate death, developed a subacute course with findings suggestive of an expanding mediastinal mass. The cause of the spontaneous perforation appears to have been a combination of atherosclerosis, infection, and infiltration of the underlying structures with malignancy. This is a unique case of subacute spontaneous perforation of a great vessel.