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Video-Assisted Thoracoscopic Repair of an Iatrogenic Innominate Arterial Injury
Xinyu Wang1, Zhiyong Sun1, Yujie Fu1
1Department of Thoracic Surgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China.
Interdisciplinary Cardiovascular and Thoracic Surgery
|April 13, 2026
Summary
A 64-year-old male experienced innominate artery bleeding during video-assisted thoracic surgery (VATS). Successful thoracoscopic repair was achieved, demonstrating feasibility for experienced centers.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Minimally Invasive Surgery
Background:
- Iatrogenic injuries to major thoracic vessels, such as the innominate artery, can occur during complex thoracic procedures.
- Video-assisted thoracic surgery (VATS) offers potential benefits but carries risks of vascular complications.
Purpose of the Study:
- To report a case of successful thoracoscopic repair of iatrogenic innominate artery hemorrhage.
- To evaluate the feasibility of minimally invasive repair for this specific vascular injury.
Main Methods:
- The study involved a 64-year-old male patient undergoing VATS lymph node dissection.
- The patient sustained an iatrogenic injury to the innominate artery.
- Thoracoscopic repair of the hemorrhage was performed.
Main Results:
- Successful thoracoscopic repair of the iatrogenic innominate artery hemorrhage was achieved.
- The minimally invasive approach avoided the need for thoracotomy.
Conclusions:
- Thoracoscopic repair of iatrogenic innominate artery hemorrhage is feasible in experienced minimally invasive thoracic surgery centers.
- This approach can be a viable alternative to thoracotomy for managing such critical injuries, provided rapid multidisciplinary support is available.
