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Eur J Cardiothorac Surg 2001;19:85-86
© 2001 Elsevier Science NL

Images in cardio-thoracic surgery

Embolisation of a false aneurysm of the right internal mammary artery complicating routine sternotomy

R.J. Williamsa, M. Ablettb

a Department of Cardiothoracic Surgery, The Western Infirmary, Glasgow, UK
b Department of Radiology, The Ayr Hospital, Ayr, UK

Received 18 September 2000; received in revised form 9 October 2000; accepted 27 October 2000.

Corresponding author

A 74-year-old female patient presented with a pulsatile lump at the right upper sternal edge 6 weeks after a routine coronary artery bypass graft procedure. Ultrasound and a contrast enhanced CT (Fig. 1) showed this to be a 3 cm false aneurysm of the right internal mammary artery. Percutaneous angiography confirmed the diagnosis (Fig. 2). The lesion was embolised using a 5 cmx5 mm coil, which successfully occluded the lesion. Ultrasound at follow up confirmed complete thrombosis.



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  		Fig. 1. CT scan showing false aneurysm of the right internal mammary artery.

 


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  		Fig. 2. Selective angiogram of right internal mammary artery showing sacular false aneurysm prior to embolisation.

 




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