Document Detail

Pseudoaneurysm of the subclavian artery due to Xanthomonas pneumonia in a patient with acute myeloid leukemia: its rupture treated by transcatheter coil embolization.
MedLine Citation:
PMID:  10440506     Owner:  NLM     Status:  MEDLINE    
A 52-year-old male with acute myeloid leukemia developed pseudoaneurysm of the subclavian artery. Pneumonia due to Xanthomonas maltophilia, which was multi-drug resistant, progressed to a lung abscess even under administration of antibiotics. This lung infection contiguous to the left carotid and subclavian arteries was suggested to have caused the pseudoaneurysm of the subclavian artery. The rupture of the aneurysm by penetration to the trachea amounted to about 1,000 ml of bleeding; fortunately the bleeding ceased spontaneously. Nonetheless, an emergency transcatheter coil embolization prevented re-bleeding. Endovascular treatment should be considered especially for aneurysms which develop in patients with underlying diseases.
Y Ohkoshi; H Ninomiya; H Y Mukai; N Mochizuki; M Hori; T Nagasawa; T Jikuya; Y Saida
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  38     ISSN:  0918-2918     ISO Abbreviation:  Intern. Med.     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-09-14     Completed Date:  1999-09-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  671-4     Citation Subset:  IM    
Division of Hematology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki.
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MeSH Terms
Aneurysm, False / diagnosis,  etiology*,  therapy*
Aneurysm, Ruptured / etiology,  therapy*
Drug Therapy, Combination
Embolization, Therapeutic*
Fatal Outcome
Leukemia, Myeloid, Acute / complications*
Middle Aged
Pneumonia, Bacterial / drug therapy,  etiology*
Subclavian Artery*
Tomography, X-Ray Computed
Ultrasonography, Interventional

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