Aortic reconstruction after complex injury of the mid-transverse arch.
We report the case of a 28-year-old man who suffered a transection of the mid-transverse aortic arch between the innominate and left common carotid artery with complete avulsion of the left common carotid artery after blunt trauma. This patient underwent successful aortic arch replacement proximal to the left subclavian artery and reimplantation of the innominate and left carotid arteries using profound hypothermic circulatory arrest and selective antegrade cerebral perfusion. A literature review revealed no other previous reports of survival after this type of injury.
Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Daniel L
DL
Serna
Jay S
JS
Miller
Edward P
EP
Chen
D000293:Adolescent; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D019651:Plastic Surgery Procedures; D013348:Subclavian Artery / Q000601:surgery; D014182:Transplantation, Autologous