Radiology Teaching Files > Case 5266226

Contributed by: Rui Haddad, Instituto de Doencas do Torax - Universidade Federal do Rio de Janeiro, Brazil.
Patient: 80 year old female
History: 80 years old COPD lady admitted with pneumonia and respiratory failure. She was submitted to a total laringectomy five years before. She had a left jugular catheterization done at the admission. Ten days later she presented hypotension and a chest X-ray (Fig. 1) showed a mediastinal enlargement, that was not pressent before (Fig. 2). A CT scan showed an active mediastinal bleeding (Fig. 3, 4). She was too ill to support an operation. An angiography was performed an the site of the bleeding was the innominate vein (Fig. 5). A wallstent was put at the level of the bleeding (Fig. 6) and the bleeding was controlled (Fig 7). 

Fig. 1

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Fig. 5

Fig. 6

Fig. 7
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Additional Details:

Case Number: 5266226Last Updated: 2006-07-09
Anatomy: Vascular/Lymphatic   Pathology: Iatrogenic
Modality: CT, Conventional Radiograph, AngiographyAccess Level: Readable by all users
Keywords: innominate vein lesion, hemothorax, endovascular venous procedure

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