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      Endovascular treatment of left internal thoracic artery aneurysm

      case-report

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          Abstract

          Aneurysm of the internal thoracic artery is a rare entity, with variable presentation and a potential risk of fatal rupture. Angiotomography is the diagnostic test of choice and is useful for planning treatment. Considering the morbidity of thoracic access for a direct approach and the unpredictable risk of rupture, an endovascular procedure is the treatment modality of choice for this type of aneurysm. We describe the case of an internal thoracic artery aneurysm discovered incidentally during investigation of syncope and treated by embolization with low-profile and controlled-release microcoils.

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          Spontaneous haemothorax associated with von Recklinghausen's disease: review of occurrence in Japan.

          J Usuda, S Hirai, Hoichi Kato … (1997)
          The case history is presented of a 61 year old man with von Recklinghausen's disease who developed a spontaneous haemothorax. In spite of being asymptomatic for five days after drainage, he died as a result of fatal sudden re-bleeding. The post mortem examination showed dissection and rupture of the left subclavian artery. Microscopically, disarrangement of smooth muscle and decrease of elastic fibre was observed in the ruptured artery. Haemothorax in patients with von Recklinghausen's disease may require thoracotomy, even if the condition of the patient appears to be stable.
          Article 0 comments Cited 11 times – based on 0 reviews     Review now
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            Aneurysm of the internal mammary artery with cystic medial degeneration.

            Yuji Okura, Takashi Kawasaki, Tohru Hiura … (2012)
            We herein report the histopathology of a rare case of an idiopathic internal mammary artery aneurysm in a 61-year-old asymptomatic woman. Chest radiography during an annual medical check-up incidentally revealed the aneurysm, which was initially mistaken for a mediastinal tumor. Given that a rupture of the aneurysm could have been life-threatening, it was removed surgically, and found to possess a paper-thin arterial wall with cystic medial degeneration.
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              Idiopathic internal mammary artery aneurysm

              Jens Heyn, Hanna Zimmermann, Alexander D. Klose … (2014)
              Aneurysms of the internal mammary artery are extremely rare, and their presentation and treatment are variable. Since these aneurysms often tend to rupture and cause haemothorax and life-threatening conditions, the knowledge of secure treatment options is indispensable. We here report the case of an idiopathic internal mammary aneurysm in a 46-year-old man. Open surgical resection of the aneurysm was performed in this case without any complications. The postoperative course was uneventful and the patient was in a good physical condition without any vascular or neurological abnormalities during follow-up.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Vasc Bras
                Journal ID (iso-abbrev): J Vasc Bras
                Journal ID (publisher-id): jvb
                Title: Jornal Vascular Brasileiro
                Publisher: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
                ISSN (Print): 1677-5449
                ISSN (Electronic): 1677-7301
                Publication date (Electronic, pub): 31 August 2020
                Publication date (Electronic, collection): 2020
                Volume: 19
                Electronic Location Identifier: e20200042
                Affiliations
                [1 ] originalUniversidade de São Paulo – USP, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Divisão de Cirurgia Vascular e Endovascular, Ribeirão Preto, SP, Brasil.
                [1 ] originalUniversidade de São Paulo – USP, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Divisão de Cirurgia Vascular e Endovascular, Ribeirão Preto, SP, Brasil.
                Author notes

                Conflicts of interest: No conflicts of interest declared concerning the publication of this article.

                Correspondence Milton Sérgio Bohatch Júnior Universidade de São Paulo – USP, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Divisão de Cirurgia Vascular e Endovascular R. Bernardino de Campos, 1000 - Centro CEP: 65470-000 - Ribeirão Preto (SP), Brasil Tel.: +55 (11) 3602-1000 E-mail: milton.jr87@ 123456hotmail.com

                Author information MSBJ, TTJ and ALO - Vascular surgery Residents, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP). MSR - PhD, Professor, Divisão de Cirurgia Vascular e Endovascular, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP). EEJ - Tenured professor, Chief, Divisão de Cirurgia Vascular, Departamento de Cirurgia e Anatomia, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP); Chief, Serviço de Cirurgia Vascular e Endovascular; Programa de Angiorradiologia e Cirurgia Endovascular coordinator, Hospital das Cínicas, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP).

                Author contributions Conception and design: MSBJ Analysis and interpretation: MSBJ Data collection: MSBJ, TTJ Writing the article: MSBJ, TTJ, ALO Critical revision of the article: MSBJ, MSR, EEJ Final approval of the article*: MSBJ, TTJ, ALO, MSR, EEJ Statistical analysis: N/A. Overall responsibility: MSBJ, EEJ *All authors have read and approved of the final version of the article submitted to J Vasc Bras.

                Conflito de interesse: Os autores declararam não haver conflitos de interesse que precisam ser informados.

                Correspondência Milton Sérgio Bohatch Júnior Universidade de São Paulo – USP, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Divisão de Cirurgia Vascular e Endovascular R. Bernardino de Campos, 1000 - Centro CEP 65470-000 - Ribeirão Preto (SP), Brasil Tel.: (11) 3602-1000 E-mail: milton.jr87@ 123456hotmail.com

                Informações sobre os autores MSBJ, TTJ e ALO - Residentes de Cirurgia Vascular, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP). MSR - Professor Doutor, Divisão de Cirurgia Vascular e Endovascular, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP). EEJ - Professor Livre Docente, Chefe, Divisão de Cirurgia Vascular, Departamento de Cirurgia e Anatomia, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP); Chefe, Serviço de Cirurgia Vascular e Endovascular; Coordenador, Programa de Angiorradiologia e Cirurgia Endovascular, Hospital das Cínicas, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP).

                Contribuições dos autores Concepção e desenho do estudo: MSBJ Análise e interpretação dos dados: MSBJ Coleta de dados: MSBJ, TTJ Redação do artigo: MSBJ, TTJ, ALO Revisão crítica do texto: MSBJ, MSR, EEJ Aprovação final do artigo*: MSBJ, TTJ, ALO, MSR, EEJ Análise estatística: N/A. Responsabilidade geral pelo estudo: MSBJ, EEJ *Todos os autores leram e aprovaram a versão final submetida ao J Vasc Bras.

                Author information
                http://orcid.org/0000-0002-8786-8130
                Article
                Publisher ID: jvbRC20200042_PT Other ID: 00611
                DOI: 10.1590/1677-5449.200042
                PMC ID: 8202176
                SO-VID: b9393928-4049-4013-9a77-16b21158fead
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 08 April 2020
                Date accepted : 18 May 2020
                Page count
                Figures: 4, Tables: 0, Equations: 0, References: 19
                Categories
                Subject: Case Report

                Keywords: aneurism,mammary arteries,endovascular procedures
                Data availability:
                Keywords: aneurism, mammary arteries, endovascular procedures

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