Innominate Artery Rupture Caused by Blunt Chest Trauma: A Case Report.
- Author:
Gun LEE
1
;
Yong In KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kyung Hee Pundang CHA General Hospital, Korea.
- Publication Type:Case Report
- Keywords:
Chest trauma;
Innominate artery
- MeSH:
Adult;
Aneurysm, False;
Aortography;
Arm;
Arteries;
Blood Pressure;
Brachiocephalic Trunk*;
Humans;
Male;
Polytetrafluoroethylene;
Rupture*;
Sternotomy;
Thoracic Injuries;
Thorax*;
Tomography, X-Ray Computed;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(10):1028-1031
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Rupture of an innominate artery caused by blunt chest trauma is extremely rare because this artery is short and relatively well protected by the bony cage. This report describes a 37-year-old male who sustained a blunt chest injury that resulted in an innominate artery rupture, detected by chest CT and thoracic aortography. The patient underwent an urgent operation through median sternotomy. A 3 by 3 cm sized pseudoaneurysm of proximal innominate artery was found with a complete intimal tear. After the origin of the innominate artery was closed, the injured segment of artery was excised and an aorto-innominate artery bypass with a 10 mm Gore-tex graft was performed without use of a shunt. The patient was discharged 20 days later without neurologic complications and had equal blood pressure in both arms.
