Cordova Alfredo C, Bowen Frank W, Price Leigh A, Dudrick Stanley J, Sumpio Bauer E
Departments of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA ; Department of Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts, USA.
Ann Vasc Dis. 2011;4(3):252-5. doi: 10.3400/avd.cr.11.00028. Epub 2011 Jul 29.
Blunt traumatic injury of the innominate artery occurs infrequently but is commonly lethal. Bovine aortic arch anatomy is a predisposition to this injury. Clinical findings, chest X-ray, and computerized tomography may suggest the diagnosis, and it may be confirmed with angiography. Both interposition and bypass grafting are operative repair methods of choice. EEG monitoring confirms cerebral perfusion, thereby allowing the deferment of shunts and cardiovascular bypass with hypothermic arrest. We report a case of traumatic innominate artery pseudoaneurysm in the setting of "bovine aortic arch" anatomy, together with multiple associated injuries, including descending aorta transection. We also review the current literature on the topic.
无名动脉钝性创伤虽不常见，但通常会致命。牛主动脉弓解剖结构是该损伤的一个易感因素。临床症状、胸部X线检查及计算机断层扫描可能提示诊断，血管造影可确诊。置入术和旁路移植术都是可供选择的手术修复方法。脑电图监测可确认脑灌注情况，从而可推迟分流及在低温停循环下行心血管旁路手术。我们报告一例在“牛主动脉弓”解剖结构背景下发生的创伤性无名动脉假性动脉瘤病例，该病例还伴有包括降主动脉横断在内的多处相关损伤。我们还回顾了关于该主题的当前文献。
