Anterior approach to traumatic mid aortic arch transection

Bradley G Leshnower; Harold I Litt; Thomas G Gleason

doi:10.1016/j.athoracsur.2004.08.079

Anterior approach to traumatic mid aortic arch transection

Ann Thorac Surg. 2006 Jan;81(1):343-5. doi: 10.1016/j.athoracsur.2004.08.079.

Authors

Bradley G Leshnower¹, Harold I Litt, Thomas G Gleason

Affiliation

¹ Division of Cardiothoracic Surgery, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19103, USA.

PMID: 16368400
DOI: 10.1016/j.athoracsur.2004.08.079

Abstract

The majority of nonpenetrating traumatic injuries to the thoracic aorta are fatal. Survivors of aortic transection tend to have injuries occurring at the isthmus. We report a rare, blunt traumatic complete transection of the mid aortic arch between the innominate and left common carotid arteries diagnosed by multidetector computed tomography of the chest. The repair was approached anteriorly and required aortic arch replacement.

Publication types

Case Reports

MeSH terms

Accidents, Traffic
Adult
Alcoholic Intoxication / complications
Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / injuries*
Aorta, Thoracic / surgery
Axis, Cervical Vertebra / injuries
Blood Vessel Prosthesis Implantation / methods*
Brachiocephalic Trunk / surgery
Carotid Artery, Common / surgery
Emergencies
Female
Humans
Multiple Trauma
Postoperative Complications / etiology
Radius Fractures / complications
Spinal Fractures / complications
Tomography, Spiral Computed*
Vocal Cord Paralysis / etiology
Wounds, Nonpenetrating / diagnostic imaging
Wounds, Nonpenetrating / surgery*