Traumatic brachiocephalic trunk dissection of a bovine arch.
Arch repair
Bovine arch
Brachiocephalic trunk dissection
Thoracic vessel trauma
Traumatic dissection
Journal
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
ISSN: 1873-734X
Titre abrégé: Eur J Cardiothorac Surg
Pays: Germany
ID NLM: 8804069
Informations de publication
Date de publication:
01 04 2020
01 04 2020
Historique:
received:
27
06
2019
revised:
23
07
2019
accepted:
31
07
2019
pubmed:
11
9
2019
medline:
22
6
2021
entrez:
11
9
2019
Statut:
ppublish
Résumé
Aortic dissections after deceleration traumas are mainly located in the region of the proximal descending thoracic aorta. Less common are brachiocephalic trunk ruptures, which are not automatically amenable to an endovascular treatment. We present a poly-traumatized patient with an intimal tear at the origin of the brachiocephalic tunk with intramural haematoma extension to the ascending aorta. In addition, the left common carotid artery originated from the proximal brachiocephalic trunk, forming a 'bovine arch'. Aortic arch and supra-aortic arteries were successfully replaced. The case demonstrates the importance of an individualized treatment in complex intrathoracic vascular injuries in poly-traumatized patients, including a careful risk assessment.
Identifiants
pubmed: 31504372
pii: 5554557
doi: 10.1093/ejcts/ezz236
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
801-802Informations de copyright
© The Author(s) 2019. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.