Hemothorax Due to Aneurysm of the Left Pulmonary Vein in a Pregnant Patient. Case Report

Main Article Content

Kenia Hernández Mejía
Estanislao Antonio Calixto
Leopoldo Díaz Aguilar
David Sandoval Sánchez
Mariely de Jesús Aguirre Linares
María José Santana Cano

Abstract




Pulmonary venous aneurysm often presents as a mediastinal mass, in most cases patients are asymptomatic and surgical treatment is not required unless there are complications. We present the case of a 34-year-old woman, with a normal evolutionary pregnancy of 36 weeks of gestation, with dyspnea on small to medium efforts, to which was added pleuritic pain in the left hemithorax, evidence of left pleural effusion greater than 80%, with drainage of 700 ml of hematic fluid. The gynecology and obstetrics service identified anhydramnios, deciding to terminate the pregnancy through the abdomen. A simple and contrast- enhanced chest tomography was performed, as well as papanicolaou staining of pleural fluid with a negative report for malignancy. The angiotomography reported an aneurysm of the left lobar vein with a fistulous tract, so cardiothoracic surgery performed resection of the saccular aneurysm by thoracotomy without complications. Pulmonary vein aneurysms are such rare lesions that there are no data in the literature to predict their natural history or pathogenesis. During pregnancy, cardiovascular causes of mortality predominate; on this spectrum, hemothorax could be a true surgical emergency.




Article Details

How to Cite
Hernández Mejía, K. ., Antonio Calixto, E., Díaz Aguilar, L. ., Sandoval Sánchez, D. ., Aguirre Linares, M. de J. ., & Santana Cano, M. J. . (2022). Hemothorax Due to Aneurysm of the Left Pulmonary Vein in a Pregnant Patient. Case Report . International Journal of Medical Science and Clinical Research Studies, 2(12), 1482–1483. https://doi.org/10.47191/ijmscrs/v2-i12-22
Section
Articles

References

I. Mou Y, Cheng Y, Feng Q, Ni C. Etiology of pulmonary venous aneurysm diagnosed by a combination of echocardiography and contrast enhanced computed tomography: a case report. Journal of Cardiothoracic Surgery 2014 9:132.

II. Aggarwal R, Gautam R, Jhamb D, Sivasankar R. Diagnosing thoracic venous aneurysm: A contemporary imaging perspective. Indian J Radiol Imaging 2017; 27: 350‐3.

III. Coffman J, Pence K, Khaitan PG, Chan EY, Kim MP. Management of asymptomatic pulmonary vein aneurysm. Respiratory Medicine Case Reports 20 (2017) 7 e 9.

IV. Hayashi k, Hanaoka J, Ohshio Y, Hashimoto M. Pulmonary venous aneurysm: Forming a glove balloon-like shape. International Journal of Surgery Case Reports 28 (2016) 139–141

V. Borhart J, Palmer J. Urgencias Cardiovasculares en el Embarazo. Emerg Med Clin N Am-2019.

VI. Ozeke O, Ertan C, Mavioglu L, Demir AD. Imaging of pulmonary venous aneurysm. J Echocardiogr; 9(4): 161–2.

VII. Liu C, Ran R, Li X, Liu G, Wang C, Li J. Massive hemothorax caused by intercostal artery pseudoaneurysm: a case report. Journal of Cardiothoracic Surgery 2021; 16:156

VIII. Telles AC,Villanueva CEM, Hurtado EF. Hemotórax: etiología, diagnóstico, tratamiento y complicaciones. Rev Biomed 2016; 27: 119-126.

Most read articles by the same author(s)

<< < 1 2