{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T01:55:16Z","timestamp":1648950916185},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T00:00:00Z","timestamp":1578441600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T00:00:00Z","timestamp":1578441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Bleeding of the subclavian artery is a fatal condition. Adhesion between the pleura and staple line may develop after surgical treatment of pneumothorax, and collateral arteries often develop from the subclavian artery toward the adhesion at the lung apex; however, atraumatic tearing and bleeding of these collateral arteries into the extrapleural and intrathoracic cavities is rare.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>A 70-year-old man visited the hospital for evaluation of left chest pain. Contrast-enhanced chest computed tomography showed a huge tumor in the left apex of the lung. It was suspected to be an extrapleural huge hematoma, and it ruptured into the thoracic cavity. Bleeding from the left subclavian artery was suspected; therefore, emergency angiography was performed. Angiography showed some collateral circulation from the left subclavian artery to the apex of the left lung. Distal and proximal bleeding points were identified. The distal bleeding point was embolized using coils. The proximal bleeding point was blown out, and stents were placed in the left subclavian artery. He had undergone pneumothorax surgery 20\u2009years previously, and the present bleeding episode was strongly suspected to be associated with that surgery. The collateral circulation from the subclavian artery could have developed because of post-pneumothorax inflammation, eventually rupturing and bleeding into the extrapleural space.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>This report described an important case of atraumatic subclavian artery bleeding considered to have been caused by surgical treatment of pneumothorax 20\u2009years previously. Emergency angiography and percutaneous stent placement or coil embolization should be considered first in such cases.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s13019-020-1052-2","type":"journal-article","created":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T16:02:47Z","timestamp":1578499367000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Atraumatic bleeding of the subclavian artery 20 years after surgical treatment of pneumothorax"],"prefix":"10.1186","volume":"15","author":[{"given":"Kentaro","family":"Miura","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobutaka","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,1,8]]},"reference":[{"key":"1052_CR1","first-page":"295","volume":"179","author":"R Pretre","year":"1994","unstructured":"Pretre R, Hoffmeyer P, Bednarkiewicz M, Kursteiner K, Faidutti B. Blunt injury to the subclavian or axillary artery. J Am Coll Surg. 1994;179:295\u20138.","journal-title":"J Am Coll Surg"},{"key":"1052_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.tcr.2018.07.001","volume":"16","author":"C Tennyson","year":"2018","unstructured":"Tennyson C, Karunaratne D, McLaughlin KE, Hasan R, Grant SW. Delayed subclavian artery rupture secondary to a traumatic first rib fracture. Trauma Case Rep. 2018;16:1\u20133.","journal-title":"Trauma Case Rep"},{"key":"1052_CR3","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1002\/ccr3.823","volume":"5","author":"N Yonezawa","year":"2017","unstructured":"Yonezawa N, Nakayama Y, Takei T, Toh M, Asano M, Imamura T, et al. Fatal delayed rupture of the subclavian artery in a patient with first-rib fracture caused by blunt trauma. Clin Case Rep. 2017;5:260\u20133.","journal-title":"Clin Case Rep"},{"key":"1052_CR4","doi-asserted-by":"publisher","first-page":"714","DOI":"10.1177\/1538574410373836","volume":"44","author":"BJ Santin","year":"2010","unstructured":"Santin BJ, Guy GE, Bourekas EC, Go MR. Endovascular therapy for subclavian artery rupture in von Recklinghausen disease. Vasc Endovasc Surg. 2010;44:714\u20137.","journal-title":"Vasc Endovasc Surg"},{"key":"1052_CR5","first-page":"709","volume":"45","author":"J Terada","year":"2007","unstructured":"Terada J, Tanabe N, Shimizu H, Yasui T, Ogasawara T, Yagi T, et al. A case of intractable hemoptysis originating from the branches of the right subclavian artery, successfully treated with arterial coil embolization. Nihon Kokyuki Gakkai Zasshi. 2007;45:709\u201314.","journal-title":"Nihon Kokyuki Gakkai Zasshi"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-020-1052-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13019-020-1052-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-020-1052-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,7]],"date-time":"2021-01-07T00:58:58Z","timestamp":1609981138000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-020-1052-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,8]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["1052"],"URL":"https:\/\/doi.org\/10.1186\/s13019-020-1052-2","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,8]]},"assertion":[{"value":"11 September 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 January 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 January 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This case report was approved by the Institutional Review Board at Japanese Red Cross Society Nagano Hospital.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent for publication was obtained from the patient.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"8"}}