Faro R S, Monson D O, Weinberg M, Javid H
Arch Surg. 1983 Nov;118(11):1333-6. doi: 10.1001/archsurg.1983.01390110079017.
From 1967 through 1979, six patients sustained non-penetrating chest trauma with disruption of the Innominate, carotid, and subclavian arteries. Diagnosis was established in each case by aortography. Two patients with subclavian artery injuries underwent exploration through lateral thoracotomies, and three patients underwent sternotomy for innominate artery disruptions. A cervical approach was used for a common carotid artery disruption. One patient had innominate and left common carotid artery disruption. Two patients with subclavian injuries had associated bronchial disruptions. Cardiopulmonary bypass was used in one patient and should be available in all cases. One patient died with multiple vessel and bronchial disruption. A variety of repairs were used, varying from simple oversewing of the subclavian artery to elaborate graft replacement of the innominate and left common carotid arteries.
从1967年到1979年，6例患者遭受非穿透性胸部创伤，无名动脉、颈动脉和锁骨下动脉中断。每例均通过主动脉造影确诊。2例锁骨下动脉损伤患者通过侧胸壁切开术进行探查，3例无名动脉中断患者接受胸骨切开术。对1例颈总动脉中断采用颈部入路进行处理。1例患者无名动脉和左颈总动脉中断。2例锁骨下动脉损伤患者合并支气管中断。1例患者使用了体外循环，所有病例均应具备体外循环条件。1例因多处血管和支气管中断死亡。采用了多种修复方法，从简单的锁骨下动脉缝合到复杂的无名动脉和左颈总动脉移植置换不等。
