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Francesco Calabrò
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Eur J Cardiothorac Surg 2004;26:824-825
© 2004 Elsevier Science NL

Images in cardio-thoracic surgery

Cervical and mediastinal hematoma from ruptured aneurysm of the inferior thyroid artery

Alberto Terzi*, Sonia Pergher, Giovanni Falezza, Francesco Calabrò

Thoracic Surgery Unit, Verona City Hospital, Azienda Ospedaliera, Verona P.le Stefani 1 37128, Verona, Italy

Received 15 April 2004; accepted 21 June 2004.

* Corresponding author. Tel.: +39-045-8072312; fax: +39-045-8072046. (E-mail: alterzi{at}libero.it).

A 53-year-old woman complaining of worsening dyspnoea and enlarging swelling in the neck after cough and acute sudden pain at the base of the neck. Contrast enhanced CT scan showing large cervical and mediastinal hematoma with bilateral pleural effusion (Fig. 1). Angiography: ruptured aneurysm of left lower thyroid artery treated by embolization (Fig. 2).



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  		Fig. 1. Contrast enhanced CT scan showing cervical hematoma, mediastinal hematoma and bilateral pleural effusion.

 


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  		Fig. 2. Diagnostic angiogram showing a ruptured aneurysm of left inferior thyroid artery as the source of bleeding (white arrow) and angiogram after embolization (steel coils and gelfoam plug embolization) of the left inferior thyroid artery.

 




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