Division of Cardiothoracic Surgery, Washington University in St Louis, St Louis, Missouri.
Tex Heart Inst J. 2023 Jan 1;50(1). doi: 10.14503/THIJ-21-7626.
Blunt traumatic injuries to the brachiocephalic artery require surgical management. The operative technique used depends on the location of the injury, the patient's hemodynamic stability, and the surgeon's experience. Perfusion strategy can facilitate vascular control of the aortic arch and branch vessels. This report presents an urgent repair of a proximal posterior blunt traumatic brachiocephalic artery injury under circulatory arrest, with an excellent outcome.
头臂动脉钝性创伤性损伤需要手术治疗。所使用的手术技术取决于损伤的位置、患者的血流动力学稳定性和外科医生的经验。灌注策略可以促进主动脉弓和分支血管的血管控制。本报告介绍了一例在循环停止下紧急修复近端后钝性创伤性头臂动脉损伤的病例,取得了极好的结果。