Author(s)

Mohammad Miah¹, Mauin Uddin², Jalal Bin Saeid¹, Syed Al Nahian³, Anwar Karim¹, Ahmed Ashoub¹

¹Queen Elizabeth Hospital Birmingham (QEHB), Birmingham, UK.
²New Cross Hospital, Wolverhampton, UK.
³Liverpool Heart and Chest Hospital, Liverpool, UK.

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 this 32-year-old gentleman who sustained a thoracic stab wound and had an emergency right anterior mini-thoracotomy by 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.

Internal Mammary Artery (IMA), Mini-Thoracotomy, Massive Haemothorax, External Cardiac Tamponade

Miah, M. , Uddin, M. , Saeid, J. , Al Nahian, S. , Karim, A. and Ashoub, A. (2019) Literature Review for the Management of Isolated Internal Mammary Artery Injury and a Case Managed by Mini-Thoracotomy. World Journal of Cardiovascular Surgery, 9, 83-88. doi: 10.4236/wjcs.2019.98010.