Lovelock T, Cheng A, Negri J, Fitzgerald M
Department of Cardiothoracic Surgery, The Alfred Hospital, Melbourne, Australia.
Trauma Service, The Alfred Hospital, Melbourne, Australia.
Trauma Case Rep. 2020 May 11;27:100307. doi: 10.1016/j.tcr.2020.100307. eCollection 2020 Jun.
Blunt traumatic transection of the innominate artery is rare. We describe a case of a 36-year-old male who presented to our Emergency & Trauma Center after being struck by a motor vehicle at high speed. Computerised Tomography (CT) scanning after the patient was stabilised facilitated the prompt diagnosis of the injury. The patient underwent open repair by midline sternotomy, with debranching of the innominate artery, using hypothermic circulatory arrest as a neuroprotective measure. The patient was successfully extubated on post-operative day 3, without neurological deficit. We provide our experience as an option for treating any patient that presents with such an injury.
无名动脉钝性创伤性横断很少见。我们描述了一例36岁男性患者，他在高速被机动车撞击后被送往我们的急诊与创伤中心。患者病情稳定后进行的计算机断层扫描（CT）有助于迅速诊断该损伤。患者通过正中胸骨切开术进行了开放修复，对无名动脉进行了分支处理，并采用低温循环停止作为神经保护措施。患者在术后第3天成功拔管，无神经功能缺损。我们分享我们的经验，作为治疗出现此类损伤的任何患者的一种选择。
