Successful Management of Thyrocervical Trunk Aneurysm Ruptured into the Thoracic Cavity After Cesarean Section in Nonstable Patient with Neurofibromatosis Type I
Rupture of the thyrocervical trunk aneurysm into the thoracic cavity does not occur very often. It is an urgent condition due to hemorrhagic shock by massive hemothorax with potentially fatal consequences. Pregnancy and puerperium are additional risk factors for a rupture of the thyrocervical trunk...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-12-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/61/1/49 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832587980881002496 |
|---|---|
| author | Nikola Mirković Marko Prokić Marija Novčić Miloš Arsenijević Snežana Sretenović Dragan Knežević Vojin Kovačević Marija Šorak Olivera Kostić |
| author_facet | Nikola Mirković Marko Prokić Marija Novčić Miloš Arsenijević Snežana Sretenović Dragan Knežević Vojin Kovačević Marija Šorak Olivera Kostić |
| author_sort | Nikola Mirković |
| collection | DOAJ |
| description | Rupture of the thyrocervical trunk aneurysm into the thoracic cavity does not occur very often. It is an urgent condition due to hemorrhagic shock by massive hemothorax with potentially fatal consequences. Pregnancy and puerperium are additional risk factors for a rupture of the thyrocervical trunk aneurysm in patients with neurofibromatosis and aneurysms. This is the first case of thyrocervical trunk aneurysm rupture after a Cesarean section in a patient with neurofibromatosis type I noted down in the literature. The patient, a 33-year-old woman with neurofibromatosis type I, three days after an already performed Cesarean section had acute pain in the left area of the neck, swelling, and a hematoma that progressed rapidly to respiratory distress, hemothorax, and hemorrhagic shock. Emergency endotracheal intubation was performed for airway control. Urgent computer tomography angiography procedure showed extracranial artery, thyrocervical trunk aneurysm rupture, and vertebral aneurysm without rupture. The patient was urgently and successfully treated by endovascular coil embolization of a ruptured thyrocervical trunk aneurysm and subsequently thoracic drainage for massive hemothorax. Postoperatively, her left neck pain decreased, after which she had no further neurologic deficits. The patient was discharged 10 days later. Thyrocervical trunk aneurysm rupture is a rare condition with a potential outcome of death which requires urgent intervention. Endovascular coil embolization is a minimally invasive, safe, and efficient treatment for patients with rupture of thyrocervical trunk aneurysm and following comorbidities. |
| format | Article |
| id | doaj-art-2fba7fd4b4154412a3a87e5bc2e39105 |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj-art-2fba7fd4b4154412a3a87e5bc2e391052025-01-24T13:40:22ZengMDPI AGMedicina1010-660X1648-91442024-12-016114910.3390/medicina61010049Successful Management of Thyrocervical Trunk Aneurysm Ruptured into the Thoracic Cavity After Cesarean Section in Nonstable Patient with Neurofibromatosis Type INikola Mirković0Marko Prokić1Marija Novčić2Miloš Arsenijević3Snežana Sretenović4Dragan Knežević5Vojin Kovačević6Marija Šorak7Olivera Kostić8Vascular Surgery Center, University Clinical Center Kragujevac, 34000 Kragujevac, SerbiaDepartment of Interventional Radiology, Department of Radiological Diagnostics, University Clinical Center Kragujevac, 34000 Kragujevac, SerbiaDepartment of Interventional Radiology, Department of Radiological Diagnostics, University Clinical Center Kragujevac, 34000 Kragujevac, SerbiaDepartment of Surgery, Faculty of Medical Science, University of Kragujevac, 34000 Kragujevac, SerbiaClinic of Hematology, University Clinical Center Kragujevac, 34000 Kragujevac, SerbiaVascular Surgery Center, University Clinical Center Kragujevac, 34000 Kragujevac, SerbiaDepartment of Surgery, Faculty of Medical Science, University of Kragujevac, 34000 Kragujevac, SerbiaGynecology and Obstetrics Clinic, Center for Biomedically Assisted Fertilisation, University Clinical Center Kragujevac, 34000 Kragujevac, SerbiaDepartment of Pharmacy, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, SerbiaRupture of the thyrocervical trunk aneurysm into the thoracic cavity does not occur very often. It is an urgent condition due to hemorrhagic shock by massive hemothorax with potentially fatal consequences. Pregnancy and puerperium are additional risk factors for a rupture of the thyrocervical trunk aneurysm in patients with neurofibromatosis and aneurysms. This is the first case of thyrocervical trunk aneurysm rupture after a Cesarean section in a patient with neurofibromatosis type I noted down in the literature. The patient, a 33-year-old woman with neurofibromatosis type I, three days after an already performed Cesarean section had acute pain in the left area of the neck, swelling, and a hematoma that progressed rapidly to respiratory distress, hemothorax, and hemorrhagic shock. Emergency endotracheal intubation was performed for airway control. Urgent computer tomography angiography procedure showed extracranial artery, thyrocervical trunk aneurysm rupture, and vertebral aneurysm without rupture. The patient was urgently and successfully treated by endovascular coil embolization of a ruptured thyrocervical trunk aneurysm and subsequently thoracic drainage for massive hemothorax. Postoperatively, her left neck pain decreased, after which she had no further neurologic deficits. The patient was discharged 10 days later. Thyrocervical trunk aneurysm rupture is a rare condition with a potential outcome of death which requires urgent intervention. Endovascular coil embolization is a minimally invasive, safe, and efficient treatment for patients with rupture of thyrocervical trunk aneurysm and following comorbidities.https://www.mdpi.com/1648-9144/61/1/49thyrocervical trunk aneurysmruptureneurofibromatosis type Ipuerperiumcoil embolisation |
| spellingShingle | Nikola Mirković Marko Prokić Marija Novčić Miloš Arsenijević Snežana Sretenović Dragan Knežević Vojin Kovačević Marija Šorak Olivera Kostić Successful Management of Thyrocervical Trunk Aneurysm Ruptured into the Thoracic Cavity After Cesarean Section in Nonstable Patient with Neurofibromatosis Type I Medicina thyrocervical trunk aneurysm rupture neurofibromatosis type I puerperium coil embolisation |
| title | Successful Management of Thyrocervical Trunk Aneurysm Ruptured into the Thoracic Cavity After Cesarean Section in Nonstable Patient with Neurofibromatosis Type I |
| title_full | Successful Management of Thyrocervical Trunk Aneurysm Ruptured into the Thoracic Cavity After Cesarean Section in Nonstable Patient with Neurofibromatosis Type I |
| title_fullStr | Successful Management of Thyrocervical Trunk Aneurysm Ruptured into the Thoracic Cavity After Cesarean Section in Nonstable Patient with Neurofibromatosis Type I |
| title_full_unstemmed | Successful Management of Thyrocervical Trunk Aneurysm Ruptured into the Thoracic Cavity After Cesarean Section in Nonstable Patient with Neurofibromatosis Type I |
| title_short | Successful Management of Thyrocervical Trunk Aneurysm Ruptured into the Thoracic Cavity After Cesarean Section in Nonstable Patient with Neurofibromatosis Type I |
| title_sort | successful management of thyrocervical trunk aneurysm ruptured into the thoracic cavity after cesarean section in nonstable patient with neurofibromatosis type i |
| topic | thyrocervical trunk aneurysm rupture neurofibromatosis type I puerperium coil embolisation |
| url | https://www.mdpi.com/1648-9144/61/1/49 |
| work_keys_str_mv | AT nikolamirkovic successfulmanagementofthyrocervicaltrunkaneurysmrupturedintothethoraciccavityaftercesareansectioninnonstablepatientwithneurofibromatosistypei AT markoprokic successfulmanagementofthyrocervicaltrunkaneurysmrupturedintothethoraciccavityaftercesareansectioninnonstablepatientwithneurofibromatosistypei AT marijanovcic successfulmanagementofthyrocervicaltrunkaneurysmrupturedintothethoraciccavityaftercesareansectioninnonstablepatientwithneurofibromatosistypei AT milosarsenijevic successfulmanagementofthyrocervicaltrunkaneurysmrupturedintothethoraciccavityaftercesareansectioninnonstablepatientwithneurofibromatosistypei AT snezanasretenovic successfulmanagementofthyrocervicaltrunkaneurysmrupturedintothethoraciccavityaftercesareansectioninnonstablepatientwithneurofibromatosistypei AT draganknezevic successfulmanagementofthyrocervicaltrunkaneurysmrupturedintothethoraciccavityaftercesareansectioninnonstablepatientwithneurofibromatosistypei AT vojinkovacevic successfulmanagementofthyrocervicaltrunkaneurysmrupturedintothethoraciccavityaftercesareansectioninnonstablepatientwithneurofibromatosistypei AT marijasorak successfulmanagementofthyrocervicaltrunkaneurysmrupturedintothethoraciccavityaftercesareansectioninnonstablepatientwithneurofibromatosistypei AT oliverakostic successfulmanagementofthyrocervicaltrunkaneurysmrupturedintothethoraciccavityaftercesareansectioninnonstablepatientwithneurofibromatosistypei |