Keen G, Thomas W E
Thorax. 1982 May;37(5):381-3. doi: 10.1136/thx.37.5.381.
Two cases of closed traumatic rupture of the innominate artery are described. Both patients underwent surgical reconstruction, for which one patient was cooled to 15 degrees C on cardiopulmonary bypass. In the management of these rare and severe injuries, which almost invariably need surgical repair, protection of the cerebral circulation is vital; cerebral blood flow and function should be monitored during the operation, for which cardiopulmonary bypass, hypothermia, or local shunting should be available. Failure to recognise the features of these injuries lead to a high death rate, and aortography should be performed whenever there is clinical or radiological suspicion.
本文描述了两例无名动脉闭合性创伤性破裂病例。两名患者均接受了手术重建，其中一名患者在体外循环下被冷却至15摄氏度。在处理这些罕见且严重的损伤时，几乎都需要进行手术修复，保护脑循环至关重要；手术期间应监测脑血流和功能，为此应具备体外循环、低温或局部分流等手段。未能识别这些损伤的特征会导致高死亡率，只要有临床或影像学怀疑，就应进行主动脉造影。
