title: Traumatic innominate artery disruption and aortic valve rupture.
abstract: 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.
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, University of Western Ontario, London, Ontario, Canada.
authors.forename: Michael W A
authors.initials: MW
authors.lastname: Chu
authors.forename: Mary Lee
authors.initials: ML
authors.lastname: Myers
mesh_terms: 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