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CLC number: R641

On-line Access: 2014-10-08

Received: 2014-04-06

Revision Accepted: 2014-07-20

Crosschecked: 2014-09-20

Cited: 3

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Citations:  Bibtex RefMan EndNote GB/T7714

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Journal of Zhejiang University SCIENCE B 2014 Vol.15 No.10 P.864-869


Assessment of internal mammary artery injury after blunt chest trauma: a literature review

Author(s):  Jin-ming Chen1, Jin Lv2, Kai Ma3, Jing Yan2

Affiliation(s):  1. Department of Emergency Medicine, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China; more

Corresponding email(s):   zjicu@vip.163.com

Key Words:  Internal mammary artery injury, Blunt chest trauma, Bleeding, Treatment

Jin-ming Chen, Jin Lv, Kai Ma, Jing Yan. Assessment of internal mammary artery injury after blunt chest trauma: a literature review[J]. Journal of Zhejiang University Science B, 2014, 15(10): 864-869.

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author="Jin-ming Chen, Jin Lv, Kai Ma, Jing Yan",
journal="Journal of Zhejiang University Science B",
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%T Assessment of internal mammary artery injury after blunt chest trauma: a literature review
%A Jin-ming Chen
%A Jin Lv
%A Kai Ma
%A Jing Yan
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%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1400098

T1 - Assessment of internal mammary artery injury after blunt chest trauma: a literature review
A1 - Jin-ming Chen
A1 - Jin Lv
A1 - Kai Ma
A1 - Jing Yan
J0 - Journal of Zhejiang University Science B
VL - 15
IS - 10
SP - 864
EP - 869
%@ 1673-1581
Y1 - 2014
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1400098

The occurrence, bleeding, and treatment of internal mammary artery (IMA) injury after blunt chest trauma have not been well described in the literature. We reviewed articles published from July 1977 to February 2014 describing IMA injury after blunt chest trauma in 49 patients. There was a predominant incidence in males and on the left side. Blunt trauma to the IMA can cause anterior mediastinal hematoma, hemothorax, pseudoaneurysm, arteriovenous fistula, and extra-pleural hematoma. Of the 49 patients studied, 20 underwent embolization, 22 underwent surgical operation, 4 were managed by clinical observation, and 3 had undescribed treatment. Different parts and extents of IMA injury, adjacent vein injury, as well as the integrity of the pleura determined differences in bleeding modality. Prompt diagnosis, complete hemostasis, aggressive resuscitation, and multidisciplinary teams are recommended for patients with IMA injury.



Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article


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