[Blunt disruption of the brachiocephalic artery].
A 59-year-old female having the disrupted brachiocephalic artery (BCA) and multiple bone fractures caused by a traffic accident was transferred to our hospital in a hypovolemic shock status with a wide mediastinum on the chest radiograph. Intraarterial digital subtraction angiography was effective in confirming the bleeding site of the artery. The patient underwent an urgent operation 4 hours and 22 minutes after admission. Through median sternotomy the BCA was simply clamped, followed by a direct suture repair of the 2/3-circumferential transection on the proximal portion of BCA. The patient had an uneventful postoperative course without any neurological complications.
Department of Cardiovascular Surgery, Aomori Prefectural Central Hospital, Japan.
H
H
Yokoyama
S
S
Takahashi
K
K
Maida
S
S
Tanaka
D000063:Accidents, Traffic; D016122:Brachiocephalic Trunk / Q000293:injuries* / Q000601:surgery*; D004630:Emergencies; D005260:Female; D006801:Humans; D008875:Middle Aged; D014949:Wounds, Nonpenetrating / Q000601:surgery*