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Ann Thorac Surg 1992;53:697-699
© 1992 The Society of Thoracic Surgeons

Articles

Intrapleural rupture of the azygos vein

Robert T. Thurman, MD, Richard Roettger, MD*

Wilford Hall USAF Medical Center, Lackland AFB, Texas, USA

Accepted for publication August 26, 1991.

* Address reprint requests to Dr Roettger, Department of General Surgery, Wilford Hall USAF MC/SGHSG, Lackland AFB, TX 78236.

Intrapleural rupture of the azygos vein associated with hypovolemic shock resulting from blunt chest trauma is reported. Management demanded an emergency department right thoracotomy with venous ligation. Aortography to rule out associated arterial injury was performed. The previously published 7 cases of azygos vein rupture are reviewed as are possible etiologic mechanisms responsible for this rare injury. The history and clinical signs compatible with this injury are emphasized.




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[Abstract] [Full Text] [PDF]


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Copyright © 1992 by The Society of Thoracic Surgeons.