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The Annals of Thoracic Surgery, Vol 53, 697-699, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Intrapleural rupture of the azygos vein

RT Thurman and R Roettger
Wilford Hall USAF Medical Center, Lackland AFB, Texas 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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Copyright © 1992 by The Society of Thoracic Surgeons.