Traumatic avulsion of arch vessels in a child: primary repair using hypothermic circulatory arrest (case report).
We present here the case of a 7-year-old girl who was ejected from a speeding motor vehicle and suffered avulsion of the left carotid and left subclavian arteries. Repair was affected primarily without the need of graft material, using cerebral protection of cardiopulmonary bypass, profound hypothermia, and circulatory arrest.
Schmidt
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CA
Department of Cardiovascular Surgery, Loma Linda University Medical Center, California 92354.
Smith
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DC
D000063:Accidents, Traffic; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D002315:Cardiopulmonary Bypass; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000601:surgery; D020212:Carotid Artery Injuries; D002648:Child; D004630:Emergencies; D005260:Female; D006324:Heart Arrest, Induced; D006801:Humans; D007036:Hypothermia, Induced; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D012421:Rupture; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery