Open Treatment of Blunt Injuries of Supra-Aortic Branches: Case Series.
Ann Vasc Surg
; 31: 205.e5-205.e10, 2016 Feb.
Article
in En
| MEDLINE
| ID: mdl-26647209
ABSTRACT
BACKGROUND:
Blunt injuries of the supra-aortic branches are rare entity, and majority of patients die before arrival at the hospital. Those who arrive alive require complex and fast procedure that requires sternotomy. We report 3 successfully managed cases. CASE REPORTS We report 3 patients with injury of supra-aortic branches. One was treated urgently due to longitudinal rupture on the posterior wall of innominate artery after car accident, and another 2 had chronic false aneurysm located at the very orifice of the right subclavian and left common carotid artery. In first and second patient bypass grafting with a hand-made, Y-shaped, 8-mm Dacron graft from the ascending aorta to the right common carotid and proximal right subclavian artery were performed, whereas in last 1 bypass grafting from the ascending aorta to the cervical part of the left common carotid artery was performed. In our facility, there were no possibilities for any endovascular treatment.CONCLUSIONS:
When endovascular technology is not available, open surgical repair of blunt injuries of supra-aortic vessels can be performed without complications. No matter to that, endovascular and hybrid procedures should be considered whenever possible.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Aorta
/
Aortic Aneurysm
/
Thoracic Injuries
/
Wounds, Nonpenetrating
/
Aneurysm, False
/
Blood Vessel Prosthesis Implantation
/
Vascular System Injuries
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Adult
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Ann Vasc Surg
Journal subject:
ANGIOLOGIA
Year:
2016
Document type:
Article