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Case Reports
. 2017:2017:2796568.
doi: 10.1155/2017/2796568. Epub 2017 Jul 18.

Pneumomediastinum and Mediastinal Hematoma Secondary to Right Brachiocephalic Vein Thrombectomy Mimicking STEMI

Prem Shukla  1 , Prudence Dy  1 , Rishi Raj  1 , Sayee Sundar Alagusundaramoorthy  1 , Noel Nivera  1
Affiliations
Case Reports

Pneumomediastinum and Mediastinal Hematoma Secondary to Right Brachiocephalic Vein Thrombectomy Mimicking STEMI

Prem Shukla et al. Case Rep Cardiol. 2017.

Abstract

A 50-year-old male with a history of hemodialysis dependent chronic kidney disease presented to our emergency department with acute midsternal crushing chest pain. Patient was diagnosed with acute anterolateral wall Myocardial Infraction due to the presence of corresponding ST segment elevations in EKG and underwent emergent cardiac catheterization which revealed normal patent coronaries without any disease. He continued to have chest pain for which CT of the chest was done which revealed pneumomediastinum with mediastinal hematoma, due to the recent attempted thrombectomy for thrombus in his right brachiocephalic vein.

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Figures

Figure 1
Figure 1
12-lead EKG showing ST elevation changes at V1–V3.
Figure 2
Figure 2
CT chest without contrast showed pneumomediastinum at the right superior mediastinum as shown by the white narrow arrow. The white thick arrow shows moderate right pleural effusion with 80 Hounsfield units suggestive of internal hemorrhage/proteinaceous content.
See this image and copyright information in PMC

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