Magilligan D J, Davila J C
Arch Surg. 1979 Mar;114(3):307-9. doi: 10.1001/archsurg.1979.01370270077014.
Two patients had innominate artery disruption due to blunt trauma. Compression forces between the sternum and vertebral column and rotational forces were the mechanisms of injury. Mediastinal widening led to the diagnosis in one patient who underwent successful repair with preservation of cerebral flow by an aortic to subclavian bypass graft prior to oversewing the innominate artery. A normal mediastinal shadow led to a delay in diagnosis in the second patient who underwent surgery after the appearance of focal neurologic signs. The use of a temporary indwelling aortic-carotid shunt during repair did not prevent residual hemiparesis.
两名患者因钝性创伤导致无名动脉破裂。胸骨与脊柱之间的压缩力和旋转力是损伤机制。纵隔增宽使一名患者得以确诊，该患者在缝合无名动脉之前，通过主动脉至锁骨下旁路移植术成功修复，同时保留了脑血流。纵隔阴影正常导致第二名患者诊断延迟，该患者在出现局灶性神经体征后接受了手术。修复过程中使用临时留置的主动脉 - 颈动脉分流管未能防止残留偏瘫。
