Transection of the origin of the innominate artery: A rare sequela of blunt traumatic chest trauma. (June 2020)

• Record Type: Journal Article
• Authors: Lovelock, T.; Cheng, A.; Negri, J.; Fitzgerald, M.
• Is Part Of: Trauma case reports. Volume 27(2020)
• Publication Date: 2020-06
• Subjects: Blunt trauma -- Innominate artery -- Thoracic trauma -- Vascular trauma; Wounds and injuries -- Periodicals; Traumatology -- Periodicals; 617.1005
• DOI: 10.1016/j.tcr.2020.100307
• Languages: English
• ISSNs: 2352-6440

Abstract

Abstract: Blunt traumatic transection of the innominate artery is rare. We describe a case of a 36-year-old male who presented to our Emergency & Trauma Center after being struck by a motor vehicle at high speed. Computerised Tomography (CT) scanning after the patient was stabilised facilitated the prompt diagnosis of the injury. The patient underwent open repair by midline sternotomy, with debranching of the innominate artery, using hypothermic circulatory arrest as a neuroprotective measure. The patient was successfully extubated on post-operative day 3, without neurological deficit. We provide our experience as an option for treating any patient that presents with such an injury.