Right-sided "trapdoor" incision provides necessary exposure of complex cervicothoracic vascular injury: a case report.
Combined cervicothoracical vascular traumas are very uncommon, mostly resulting from penetrating injuries. These injuries are accompanied with very high morbidity and mortality rates. In this manuscript we present a case of hemodinamycally unstable trauma patient whose major injury was penetrating trauma of both cervical and mediastinal major vessels. The standard surgical approach of median sternotomy and neck incision was insufficient, and the patient's instability forced the authors to improvise previously not described right-sided trap-door thoracomy. Incorporation of such incision in the surgical arsenal may be very effective in selective cases.
Hillel Yaffe Medical Center, Hadera, Israel. blko2@yahoo.com
Boris
B
Kessel
Itamar
I
Ashkenazi
Isaak
I
Portnoy
Dan
D
Hebron
Dani
D
Eilam
Ricardo
R
Alfici
D000328:Adult; D006801:Humans; D008297:Male; D013514:Surgical Procedures, Operative / Q000379:methods*; D013898:Thoracic Injuries / Q000601:surgery*; D057772:Vascular System Injuries / Q000601:surgery*; D014948:Wounds, Gunshot / Q000503:physiopathology / Q000601:surgery