Korean J Thorac Cardiovasc Surg.  2016 Apr;49(2):122-125. 10.5090/kjtcs.2016.49.2.122.

Massive Hemothorax Occurring with Intramural Hematoma of the Descending Aorta in the Early Postpartum Period

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
  • 2Department of Thoracic and Cardiovascular Surgery, Changwon Hospital, Gyeongsang National University School of Medicine, Korea. jhunikr@naver.com
  • 3Department of Thoracic and Cardiovascular Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Korea.

Abstract

Postpartum aortic intramural hematoma (IMH) is a rare but potentially lethal condition. We report a case of aortic IMH with massive hemothorax in a postpartum woman. The patient was a 31-year-old woman who had delivered twins by cesarean section. Two days after delivery, she complained of sudden-onset dyspnea. Chest computed tomography revealed a massive left hemothorax. Exploratory thoracotomy was performed, and we found a defect measuring approximately 6 mm in the adventitial layer of the thoracic aorta and an IMH. We repaired the defect primarily, and no more bleeding was observed. The patient was discharged on the 19th postoperative day without any complications.

Keyword

Intramural; Hemothorax; Pregnancy

MeSH Terms

Adult
Aorta, Thoracic*
Cesarean Section
Dyspnea
Female
Hematoma*
Hemorrhage
Hemothorax*
Humans
Postpartum Period*
Pregnancy
Thoracotomy
Thorax
Twins
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