Open Access

Multiple‑site bleeding at pleural adhesions and massive hemothorax following percutaneous coronary intervention with stent implantation: A case report

  • Authors:
    • Xiaoli Luo
    • Weibin Shi
    • Xiaoqun Zhang
    • Xiaoli Yang
    • Wei Wang
    • Chunyu Zeng
    • Hongyong Wang
  • View Affiliations

  • Published online on: January 2, 2018     https://doi.org/10.3892/etm.2018.5685
  • Pages: 2351-2355
  • Copyright: © Luo et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

An elderly male patient with coronary heart disease underwent coronary angiography, which revealed bilateral severe coronary artery stenosis. Four stents were implanted, and at 5 h post‑surgery, typical hemorrhagic shock appeared. Echocardiography verified heavy bleeding in the right thoracic cavity. Emergency angiography excluded injury or perforation of the coronary artery, aorta, right subclavian artery and brachiocephalic artery. Considering the patient's history of chronic obstructive pulmonary disease and severe cough during the operation, it was suspected that hemothorax was induced by a blood vessel rupture in the pleura. Video‑assisted thoracic examination confirmed the tearing of pleural adhesion bands and bleeding at three sites in the pulmonary pleura and parietal pleura. According to the reported case, bleeding as a result of the laceration of pleural adhesions is an important cause of hemothorax that should be considered after exclusion of other common causes of pleural hemorrhage.
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March-2018
Volume 15 Issue 3

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Luo X, Shi W, Zhang X, Yang X, Wang W, Zeng C and Wang H: Multiple‑site bleeding at pleural adhesions and massive hemothorax following percutaneous coronary intervention with stent implantation: A case report. Exp Ther Med 15: 2351-2355, 2018
APA
Luo, X., Shi, W., Zhang, X., Yang, X., Wang, W., Zeng, C., & Wang, H. (2018). Multiple‑site bleeding at pleural adhesions and massive hemothorax following percutaneous coronary intervention with stent implantation: A case report. Experimental and Therapeutic Medicine, 15, 2351-2355. https://doi.org/10.3892/etm.2018.5685
MLA
Luo, X., Shi, W., Zhang, X., Yang, X., Wang, W., Zeng, C., Wang, H."Multiple‑site bleeding at pleural adhesions and massive hemothorax following percutaneous coronary intervention with stent implantation: A case report". Experimental and Therapeutic Medicine 15.3 (2018): 2351-2355.
Chicago
Luo, X., Shi, W., Zhang, X., Yang, X., Wang, W., Zeng, C., Wang, H."Multiple‑site bleeding at pleural adhesions and massive hemothorax following percutaneous coronary intervention with stent implantation: A case report". Experimental and Therapeutic Medicine 15, no. 3 (2018): 2351-2355. https://doi.org/10.3892/etm.2018.5685