Massive right hemothorax due to idiopathic spontaneous rupture of a phrenic artery following cardiac surgery

Taboada Muñiz, M.; Tubio Pose, A.; Ferreiroa Mosquera, E.; Calvo Rey, A.; Martínez Cereijo, J.M.; Alvarez Escudero, J.

doi:10.1016/j.redare.2018.04.003

ISSN: 2341-1929

Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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Vol. 65. Issue 5.

Pages 291-293 (May 2018)

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Vol. 65. Issue 5.

Pages 291-293 (May 2018)

Case report

DOI: 10.1016/j.redare.2018.04.003

Massive right hemothorax due to idiopathic spontaneous rupture of a phrenic artery following cardiac surgery

Hemotórax masivo derecho por rotura espontánea idiopática de una arteria frénica tras cirugía cardiaca

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M. Taboada Muñiza,

Corresponding author

manutabo@yahoo.es

Corresponding author.

, A. Tubio Posea, E. Ferreiroa Mosqueraa, A. Calvo Reya, J.M. Martínez Cereijob, J. Alvarez Escuderoa

a Unidad de Cuidados Críticos Postoperatorios, Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Hospital Clínico Universitario de Santiago, Santiago de Compostela, Galicia, Spain

b Servicio de Cirugía Cardiaca, Hospital Clínico Universitario de Santiago, Santiago de Compostela, Galicia, Spain

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Abstract

We report a case of a 35-years-old man who presented a massive haemothorax and hypovolemic shock following cardiac surgery, from spontaneous rupture of a phrenic artery. A quick diagnosis and immediate intervention is crucial to manage the patient.

Keywords:

Phrenic artery

Haemothorax

Cardiac surgery

Resumen

Presentamos el caso de un hombre de 35 años que en el postoperatorio de cirugía cardiaca presenta un hemotórax masivo y shock hipovolémico por rotura espontánea de una arteria frénica. Un rápido diagnóstico y una inmediata intervención son cruciales para el manejo del paciente.

Palabras clave:

Arteria frénica

Hemotórax

Cirugía cardiaca

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