Geeraert A J, Drakes D A
Can J Surg. 1987 May;30(3):201-2.
Survival of major thoracic arteries transected by blunt trauma usually depends on immediate surgical repair. However, the authors report a case in which a 54-year-old man had survived an untreated complete transection of the innominate artery 20 years before. He presented with subclavian steal syndrome and transient ischemic attacks. There was wide separation between the proximal and distal stumps of the artery with no apparent continuity of tissue between them. A 10-mm Gore-Tex graft was successfully used as a bypass from the ascending aorta to the distal carotid bifurcation. Survival of the innominate artery transection without treatment and late onset of symptoms has not previously been described.
钝性创伤所致的胸主动脉主要分支离断后存活通常依赖于立即进行手术修复。然而，作者报道了一例54岁男性患者，其无名动脉完全离断未经治疗却存活了20年。他表现为锁骨下动脉窃血综合征和短暂性脑缺血发作。动脉近端和远端残端之间分离广泛，其间无明显的组织连续性。一根10毫米的戈尔特斯（Gore-Tex）移植物成功地用作从升主动脉到远端颈动脉分叉处的旁路。此前尚未有过无名动脉离断未经治疗而存活且症状延迟出现的报道。
