Traumatic innominate artery disruption and aortic valve rupture.
Rapid deceleration injury causing blunt thoracic trauma can result in injury to the thoracic aorta. Rupture of the aortic isthmus is the most common presentation; however, injury can occur more proximally in the arch vessels or the aortic root. We present an unusual case of simultaneous innominate artery disruption with aortic valve rupture after a motor vehicle accident, and we discuss issues surrounding the diagnosis and operative management of this rare, but life-threatening condition.
Chu
Michael W A
MW
Division of Cardiac Surgery, Department of Surgery, University of Western Ontario, London, Ontario, Canada.
Myers
Mary Lee
ML
D000063:Accidents, Traffic; D000328:Adult; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery; D001021:Aortic Valve / Q000293:injuries* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000601:surgery; D016122:Brachiocephalic Trunk / Q000293:injuries* / Q000601:surgery; D002315:Cardiopulmonary Bypass; D015505:Chest Tubes; D003080:Cold Temperature / Q000009:adverse effects; D003654:Deceleration / Q000009:adverse effects*; D004630:Emergencies; D006324:Heart Arrest, Induced; D006335:Heart Injuries / Q000209:etiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007101:Immersion; D008297:Male; D009104:Multiple Trauma; D017694:Rewarming; D036542:Tomography, Spiral Computed; D014949:Wounds, Nonpenetrating / Q000601:surgery