穿通性内胸動脈損傷の2例―胸腔鏡下手術と経皮的動脈塞栓術―

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  • Two cases of penetrating internal thoracic artery injury successfully treated by video-assisted thoracic surgery (VATS) and transcatheter arterial embolization (TAE), respectively

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Generally, thoracotomy is an appropriate treatment for traumatic massive hemothorax.<br>However, under some selected conditions, VATS or TAE may be a superior procedure as they are less invasive therapy.<br>We report two cases of mainly penetrating injury of the internal thoracic artery. We selected VATS and TAE for each patient, and their clinical courses were uneventful.<br>It is difficult to determine the strict indication of these procedures, but, for hemodynamically stable patients with a massive hemothorax, VATS or TAE can be good options after deliberate judgment.

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