Gunshot to the Right Carotid Trunk: Endovascular Management
| Autor: | Jose Manuel Sanchez-Lopez, Angel F. Torres-Cano, Humberto Guerrero-Gonzalez, Rómulo Armenta-Flores |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Percutaneous Physical examination 030204 cardiovascular system & hematology Young Adult 03 medical and health sciences Pseudoaneurysm Imaging Three-Dimensional 0302 clinical medicine Blood vessel prosthesis Humans Medicine Outpatient clinic cardiovascular diseases Atrium (heart) medicine.diagnostic_test business.industry Endovascular Procedures Angiography 030208 emergency & critical care medicine medicine.disease Trunk Blood Vessel Prosthesis Surgery Carotid Arteries medicine.anatomical_structure cardiovascular system Wounds Gunshot Carotid Artery Injuries Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of Thoracic Surgery. 101:e25 |
| ISSN: | 0003-4975 |
| Popis: | Fig 3. A7 days before coming to the outpatient clinic. His main symptom was weakness of the right arm. Physical examination revealed two 7-mm scars, one on the left side of the chest and the other on the neck. He had decreasing strength of his right forearm. Threedimensional (3D) computed tomography of the thorax showed a pseudoaneurysm at the origin of the right carotid trunk (Fig 1, arrow). He underwent percutaneous implantation of a 37 mm by 7 mm Atrium’s Advanta V12 polytetrafluoroethylene covered stent, excluding the pseudoaneurysm (Figs 2 A and 2B). The patient was discharged the following day receiving dual antiplatet therapy. One month later, 3D computed tomography showed resolution of the pseudoaneurysm (Fig 3). Three months later, his muscular strength completely normalized, and he is taking only aspirin. The standard approach to penetrating traumatic injury of the supraaortic vessels is an open surgical procedure [1]. However, covered stents may obviate the need for surgery in some cases manifested by pseudoaneurysm [2, 3]. |
| Databáze: | OpenAIRE |
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