Hoffmann T H, Richardson J D, Flint L M
Surgery. 1980 Apr;87(4):441-4.
A child with blunt traumatic intimal disruption involving the major vessels responsible for cerebral circulation was treated by operation. The injured vessels included both common carotid arteries, both vertebral arteries, and the left subclavian artery. The carotid injuries were treated by saphenous vein interposition grafts, whereas the left subclavian and vertebral arteries were ligated. The patient sustained no neurological deficit and is now completely well 2 years after treatment. The case reported herein is unique in that total intimal disruption of the four major vessels responsible for cerebral flow was treated by operation, resulting in complete recovery. The successful outcome underscores the importance of complete angiographic evaluation and adequate operative exposure in such cases.
一名儿童因钝性创伤导致负责脑循环的主要血管内膜破裂，接受了手术治疗。受损血管包括双侧颈总动脉、双侧椎动脉和左锁骨下动脉。颈动脉损伤采用大隐静脉移植修复，而左锁骨下动脉和椎动脉则予以结扎。患者未出现神经功能缺损，治疗后2年现在完全康复。本文报道的病例独特之处在于，对负责脑血流的四条主要血管的完全内膜破裂进行了手术治疗，结果完全康复。这一成功结果强调了在此类病例中进行全面血管造影评估和充分手术暴露的重要性。
