无名动脉创伤性横断的成功手术治疗：一例报告
Successful surgical treatment of traumatic transection of the innominate artery: a case report.
作者信息
Bito Yasuyuki, Hirai Hidekazu, Sasaki Yasuyuki, Hosono Mitsuharu, Nakahira Atsushi, Suehiro Yasuo, Kaku Daisuke, Kubota Yuko, Miyabe Makoto, Suehiro Shigefumi
机构信息
Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan.
出版信息
Ann Vasc Dis. 2014;7(2):165-8. doi: 10.3400/avd.cr.13-00117. Epub 2014 May 16.
Blunt traumatic injury to the innominate artery is relatively rare. We present the case of a 40-year-old woman who fell from a fourth-floor window and was transferred to our hospital with multiple injuries, hemodynamic shock, and disturbance of consciousness. Computed tomography with image reconstruction revealed transection of the innominate artery near its origin. Emergent surgery required establishment of cardiopulmonary bypass before sternotomy in preparation for uncontrollable hemorrhage. Proximal aortic arch replacement with a branch to the right axillary artery was successfully performed using circulatory arrest and selective cerebral perfusion.
无名动脉钝性创伤相对少见。我们报告一例40岁女性患者，该患者从四楼窗户坠落，因多处受伤、血流动力学休克和意识障碍被转送至我院。计算机断层扫描及图像重建显示无名动脉在其起始部附近横断。急诊手术需要在开胸术前建立体外循环，以应对难以控制的出血。采用循环阻断和选择性脑灌注技术，成功实施了带右腋动脉分支的近端主动脉弓置换术。
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