Graham J M, Feliciano D V, Mattox K L, Beall A C
J Trauma. 1982 Aug;22(8):647-55. doi: 10.1097/00005373-198208000-00001.
Survivors of innominate and other major cardiovascular injuries are being seen with increasing frequency. Penetrating injuries more frequently involve the distal innominate artery and innominate veins. Associated subclavian and carotid artery injuries are more frequent following penetrating trauma. Blunt trauma typically involves the proximal innominate artery. A variety of operative exposures is useful but the selection of incision frequently depends upon the presence or absence of associated mediastinal injuries. Partial or complete median sternotomy in combination with various cervical and thoracic extensions is advised. Successful management of innominate artery injury can be performed without the aid of cardiopulmonary bypass or arterial shunts.
无名动脉及其他主要心血管损伤的幸存者越来越常见。穿透性损伤更常累及无名动脉远端和无名静脉。穿透性创伤后，锁骨下动脉和颈动脉联合损伤更为常见。钝性创伤通常累及无名动脉近端。多种手术入路都很有用，但切口的选择通常取决于是否存在相关的纵隔损伤。建议采用部分或完全正中胸骨切开术并结合各种颈部和胸部延长切口。无名动脉损伤的成功处理无需体外循环或动脉分流的辅助即可进行。
