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Interact CardioVasc Thorac Surg 2008;7:430-431. doi:10.1510/icvts.2007.170795
© 2008 European Association of Cardio-Thoracic Surgery

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Negative results - Vascular general

Unilateral adrenal haemorrhage following systemic thrombolysis

Tor Steensruda,*, Lil-Sofie Ording Müllerb and Dag Sørliea

a Department of Cardio-Thoracic and Vascular Surgery, University Hospital North Norway and Institute of Clinical Medicine, University of Tromsø, Breivika, P.O. Box 102/exp, N-9038 Tromsø, Norway
b Department of Radiology, University Hospital North Norway, Norway

*Corresponding author. Tel.: +47 77626000; fax +47 77628298.

E-mail address: tor.steensrud{at}unn.no (T. Steensrud).

We report a case of unilateral adrenal bleeding, worsened or initiated by systemic thrombolytic therapy given for a suspected myocardial infarction. Initial clinical diagnosis was ruptured aortic aneurysm or aortic dissection. A preoperative contrast-enhanced computer tomography (CT) scan showed a possible bleeding from the left adrenal gland. An emergency left subcostal retroperitoneal approach revealed a ruptured and bleeding adrenal gland and its arteries were ligated.

Key Words: Adrenal haemorrhage; Thrombolysis; Complication







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