Injuries to Arterial Branches of the Aortic Arch
| Autor: | Bredenberg Ce, Marvasti Ma, Parker Fb |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Aortic arch medicine.medical_specialty Aortography Adolescent Subclavian Artery Aorta Thoracic Wounds Penetrating Wounds Stab Wounds Nonpenetrating Postoperative Complications medicine.artery medicine Humans Saphenous Vein cardiovascular diseases Child Hemopneumothorax Brachiocephalic Trunk Subclavian artery Aorta medicine.diagnostic_test business.industry Head injury Graft Occlusion Vascular Middle Aged medicine.disease Blood Vessel Prosthesis Surgery Brachial plexus injury Blunt trauma cardiovascular system Female Wounds Gunshot Carotid Artery Injuries Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Thoracic and Cardiovascular Surgeon. 32:293-298 |
| ISSN: | 1439-1902 0171-6425 |
| DOI: | 10.1055/s-2007-1023407 |
| Popis: | Exposure of arch branches for repair following trauma can be difficult. Seven patients with blunt injuries and 5 with penetrating injuries underwent repair of the innominate, common carotid and subclavian arteries. Common associated injuries included head injury, hemopneumothorax, lung contusion, long bone fractures and brachial plexus injury. Widened mediastinum was seen in 5 patients. Six patients with innominate, right subclavian and right common carotid injuries were approached through sternotomy with extension into the right side of the neck. Posterolateral thoracotomy was used to reach the proximal left subclavian artery in 2. Combined supra- and infraclavicular incision were utilized for the distal subclavian artery in 4. Eleven patients are alive, one to 7 years after surgery. One died of an unrelated cause. Head injuries complicated the postoperative management in 4 of the 7 patients with blunt trauma. Two patients with brachial plexus injury continued to have neurologic deficits. All arterial repairs have remained patent and there have been no graft infections. |
| Databáze: | OpenAIRE |
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