• Title/Summary/Keyword: 흉부 손상

Search Result 475, Processing Time 0.026 seconds

Innominate Artery Ruplure Caused by Blunt Chest Trauma -A Case Report (흉부둔상에 의한 무명동맥 파열 -치험 1례-)

  • Lee, Gun;Kim, Yong-In
    • Journal of Chest Surgery
    • /
    • v.30 no.10
    • /
    • pp.1028-1031
    • /
    • 1997
  • Rupture of an innominate artery caused by blunt chest trauma is extremel rare because this artery is short and relatively well protected by the bony cage. This report describes a 37-year-old male who sustained a blunt chest injury that resulted in an innominate artery rupture, detected by chest CT and thoracic aortography. The patient underwent an urgent operation through median sternotomy. A 3 by 3 m sized pseudoaneurysm of proximal innominate artery was found with a complete intimal tear. After the origin of the innominate artery was closed, the injured segment of artery was excised and an aorto-innominate artery bypass with a 10 mm Gore-tex graft was performed without use of a shunt. The patient was discharged 20 days later without neurologic complications and had equal blood pressure in both arms.

  • PDF

Innominate Artery Injury by Blunt Chest Trauma -A case report - (흉부 둔상으로 인한 무명동맥 손상 -수술치험 1예-)

  • Hong Joon-Hwa;Lee Cheol-Joo;Choi Jin-Wook;Soh Dong-Moon
    • Journal of Chest Surgery
    • /
    • v.39 no.5 s.262
    • /
    • pp.411-414
    • /
    • 2006
  • Innominate artery injury by blunt chest trauma is rarely reported. This report describes a 40-year-old male who had innominate artery dissection and pseudoaneurysm caused by blunt chest trauma and was treated successfully by ascending aorta to innominate artery bypass graft. The patient recovered without any complications and was discharged one week after the operation.

A Case Report of Tension Pneumopericardium Following Blunt Chest Trauma (흉부둔상에 의한 긴장성 심막기종 1예 체험)

  • Sohn, Sang-Tae;Kim, Eung-Soo;Kang, Jong-Yeol;Song, Dong-Seop
    • Journal of Chest Surgery
    • /
    • v.42 no.6
    • /
    • pp.803-806
    • /
    • 2009
  • A 49-year-old man visited our hospital via the emergency room. He had suffered chest trauma by falling down. His chest X-Ray showed pneumomediastinum with pneumopericardium. We checked the Chest CT, and it showed pneumopericardium without any injury to the other organs, the compressed heart and a minimal pneumothorax on the left hemithorax. Closed thoracostomy was then done under local anesthesia. We then performed open pericardiostomy under general anesthesia. We got a good result and so we report on this case.

Treatment for Maior Vascular Injuries of Lower Lumbar Disc Surgery -2 Cases Report (요추 추간판 제거술중 발생한 대혈관 손상 수술 치험 -2례 보고-)

  • Kim, Seung-U;Hwang, Yun-Ho
    • Journal of Chest Surgery
    • /
    • v.30 no.6
    • /
    • pp.621-624
    • /
    • 1997
  • Conventional surgery for lower lumbar disc herniation is a common practice and its vascular complications have been reported rarely. If the hypotension is severe or prolonged postoperatively, one should suspect vascular injury and perform urgent laparotomy. We experienced two cases of major vascular injuries following semi-laminectomy and discectomy.

  • PDF