Korean J Thorac Cardiovasc Surg.  2007 Dec;40(12):871-873.

Innominate Artery Rupture after Blunt Chest Trauma

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, Keimyung University School of Medicine. nhpark@dsmc.or.kr
  • 2Department of Thoracic and Cardiovascular Surgery, Pohang SM Christianity Hospital.

Abstract

A rupture of an innominate artery caused by blunt trauma is relatively rare because this artery is short and protected by the chest bony cage. This report describes a 25-year-old man who suffered a traffic accident, that resulted in an innominate artery rupture, which was detected by a chest computed tomogram and angiogram. This patient underwent urgent surgery through a right clavicular incision and median sternotomy without a cardiopulmonary bypass due to multiple injuries. An approximately 3 cm sized injury was found from the innominate artery to the proximal right subclavian artery and the origin of the common carotid artery. The injured lesion was repaired with a saphenous vein patch. After surgery, he was discharged from hospital without complications.

Keyword

Trauma, blunt; Brachiocephalic trunk

MeSH Terms

Accidents, Traffic
Adult
Arteries
Brachiocephalic Trunk*
Cardiopulmonary Bypass
Carotid Artery, Common
Humans
Multiple Trauma
Rupture*
Saphenous Vein
Sternotomy
Subclavian Artery
Thorax*
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