TITLE:
Literature Review for the Management of Isolated Internal Mammary Artery Injury and a Case Managed by Mini-Thoracotomy
AUTHORS:
Mohammad Miah, Mauin Uddin, Jalal Bin Saeid, Syed Al Nahian, Anwar Karim, Ahmed Ashoub
KEYWORDS:
Internal Mammary Artery (IMA), Mini-Thoracotomy, Massive Haemothorax, External Cardiac Tamponade
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.9 No.8,
August
22,
2019
ABSTRACT: Penetrating injuries to anterior chest may result in life-threatening complications such as massive haemothorax,as a result of injury to the internal mammary artery.Isolated internal mammary injury is a very rare cause of massive haemothorax and associated with high mortality.We are presenting this32-year-old gentleman who sustained a thoracic stab wound and had an emergency right anterior mini-thoracotomyby extending the stab wound rather than standard thoracotomy or sternotomy.This case of isolated penetrating IMA injury managed with mini-thoracotomy is the only documented case so far. We are publishing this case report with patient’s both written and informed consent and institutional approval.This potentially life-threating injury can be managed by mini-thoracotomy with enhanced recovery; however, it is case specific and needs proper judgement.