RT Journal Article
SR Electronic
T1 Intercostal arteriovenous fistula due to pleural biopsy.
JF Thorax
JO Thorax
FD BMJ Publishing Group Ltd and British Thoracic Society
SP 976
OP 978
DO 10.1136/thx.45.12.976
VO 45
IS 12
A1 J H Lai
A1 H C Yan
A1 S J Kao
A1 S C Lee
A1 C Y Shen
YR 1990
UL http://thorax.bmj.com/content/45/12/976.abstract
AB A 32 year old woman had a pleural biopsy for a left pleural effusion, which showed caseating granuloma typical of tuberculosis. When the fourth biopsy specimen was removed considerable bleeding occurred from the puncture site. Four days later a bruit was audible over the punctured area, radiating to the back. Eight days after the procedure the patient had a massive bleed into the left pleural space. Selective aortic angiography showed an arteriovenous fistula between the 9th intercostal artery and vein and a pseudoaneurysm in the intercostal punctured area. Thoracotomy showed bleeding from the site of the pleural biopsy. The intercostal vessels were ligated and pleural decortication was performed, and the patient recovered uneventfully.