Inflow occlusion in the surgical management of a penetrating aortic arch injury: case report.

The acute surgical management of a 22-year-old male patient with a stab wound below the left sternoclavicular junction causing partial transsection of the origin of the innominate artery, laceration of the posterior wall of the ascending aorta, as well as an innominate artery-vein fistula, is described and the value of inflow occlusion in the surgical repair discussed.