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Innominate Artery Rupture after Blunt Chest Trauma  

Noh, Dong-Sub (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
Kim, Jae-Bum (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
Kim, Hyung-Tae (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
Yoon, Kyung-Chan (Department of Thoracic and Cardiovascular Surgery, Pohang SM Christianity Hospital)
Choi, Sae-Young (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
Park, Nam-Hee (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
Publication Information
Journal of Chest Surgery / v.40, no.12, 2007 , pp. 871-873 More about this Journal
Abstract
A rupture of an innominate artery caused by blunt trauma is relatively rare because this artery is short and protected by the chest bony cage. This report describes a 25-year-old man who suffered a traffic accident, that resulted in an innominate artery rupture, which was detected by a chest computed tomogram and angiogram. This patient underwent urgent surgery through a right clavicular incision and median sternotomy without a cardiopulmonary bypass due to multiple injuries. An approximately 3 cm sized injury was found from the innominate artery to the proximal right subclavian artery and the origin of the common carotid artery. The injured lesion was repaired with a saphenous vein patch. After surgery, he was discharged from hospital without complications.
Keywords
Trauma, blunt; Brachiocephalic trunk;
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