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Related Experiment Videos

Innominate vascular injury

J M Graham, D V Feliciano, K L Mattox

    The Journal of Trauma
    |August 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Major cardiovascular injuries, particularly to the innominate artery, are increasingly common. Successful surgical management is achievable without cardiopulmonary bypass or arterial shunts.

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    Area of Science:

    • Cardiovascular Surgery
    • Trauma Surgery
    • Vascular Surgery

    Background:

    • Innominate artery injuries and other major cardiovascular trauma are increasingly prevalent.
    • Penetrating trauma often affects the distal innominate artery and veins, while blunt trauma typically impacts the proximal innominate artery.
    • Associated injuries to the subclavian and carotid arteries are more common with penetrating trauma.

    Purpose of the Study:

    • To review the management strategies for innominate artery injuries.
    • To highlight the importance of selecting appropriate surgical incisions based on associated injuries.
    • To demonstrate the feasibility of managing innominate artery injuries without cardiopulmonary bypass or shunts.

    Main Methods:

    • Review of surgical approaches for innominate artery injuries.

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  • Discussion of operative exposures including median sternotomy with cervical and thoracic extensions.
  • Analysis of injury patterns related to penetrating versus blunt trauma.

    • Main Results:

    • Innominate artery injuries are being encountered with greater frequency.
    • Penetrating injuries commonly involve distal innominate artery and veins, with frequent associated subclavian/carotid injuries.
    • Blunt trauma typically affects the proximal innominate artery.
    • Surgical incision selection is guided by associated mediastinal injuries.
    • Successful outcomes were achieved without cardiopulmonary bypass or arterial shunts.

    Conclusions:

    • Effective surgical management of innominate artery injuries is possible.
    • Operative strategies should be tailored to the specific injury and associated trauma.
    • Cardiopulmonary bypass and arterial shunts are not always necessary for successful outcomes.