Letsou G, Gertler J P, Baker C C, Hammond G L
Department of Surgery, Yale University School of Medicine, New Haven, Connecticut.
J Trauma. 1989 Jan;29(1):104-8.
Three consecutive successful repairs of innominate artery tears caused by blunt trauma are reported. Attention is called to the fact that the innominate artery is the second most common site of great vessel injury in this setting. The liberal use of standard angiography and subtraction techniques after high kinetic energy blunt trauma is encouraged. Once the injury is diagnosed, expeditious repair must be undertaken using the principles of adequate exposure for proximal and distal control and careful assessment of cerebral collateral blood flow. Median sternotomy, with a cervical extension if necessary, is the incision of choice. Successful repair is the usual outcome.
本文报告了3例因钝性创伤导致无名动脉撕裂并连续成功修复的病例。需要注意的是，在这种情况下，无名动脉是大血管损伤的第二常见部位。鼓励在高动能钝性创伤后广泛使用标准血管造影和减影技术。一旦诊断出损伤，必须根据近端和远端控制的充分暴露原则以及对脑侧支血流的仔细评估，迅速进行修复。首选正中胸骨切开术，必要时可延长至颈部。通常能成功修复。
