Multiple-site bleeding at pleural adhesions and massive hemothorax following percutaneous coronary intervention with stent implantation: A case report

被引:4
作者
Luo, Xiaoli [1 ]
Shi, Weibin [1 ]
Zhang, Xiaoqun [1 ]
Yang, Xiaoli [1 ]
Wang, Wei [1 ]
Zeng, Chunyu [1 ]
Wang, Hongyong [1 ]
机构
[1] Third Mil Med Univ, Dept Cardiovasc Med, Inst Field Surg, Daping Hosp, 10 Changjiang Branch Rd, Chongqing 400042, Peoples R China
关键词
bleeding; pleural adhesion; hemothorax; percutaneous coronary intervention; surgery; ASSISTED THORACIC-SURGERY; SPONTANEOUS HEMOPNEUMOTHORAX; GUIDELINES;
D O I
10.3892/etm.2018.5685
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
An elderly male patient with coronary heart disease underwent coronary angiography, which revealed bilateral severe coronary artery stenosis. Four stents were implanted, and at 5 h post-surgery, typical hemorrhagic shock appeared. Echocardiography verified heavy bleeding in the right thoracic cavity. Emergency angiography excluded injury or perforation of the coronary artery, aorta, right subclavian artery and brachiocephalic artery. Considering the patient's history of chronic obstructive pulmonary disease and severe cough during the operation, it was suspected that hemothorax was induced by a blood vessel rupture in the pleura. Video-assisted thoracic examination confirmed the tearing of pleural adhesion bands and bleeding at three sites in the pulmonary pleura and parietal pleura. According to the reported case, bleeding as a result of the laceration of pleural adhesions is an important cause of hemothorax that should be considered after exclusion of other common causes of pleural hemorrhage.
引用
收藏
页码:2351 / 2355
页数:5
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