title: Deep hypothermic circulatory arrest for repair of the brachiocephalic artery and aorta after a gunshot wound to the chest.
abstract: The incidence of penetrating trauma to the brachiocephalic artery and aortic arch is not known, because most patients die of hemorrhage before they receive adequate treatment. Furthermore, when torrential hemorrhage from penetrating trauma is present, the anatomy of the thoracic vasculature can present a challenge for gaining adequate exposure, achieving vascular control, and performing proper repair. We describe the case of a patient with a gunshot wound to the anterior chest; he was placed under cardiopulmonary bypass and deep hypothermic circulatory arrest while we performed a patch repair of the proximal brachiocephalic artery and aortic arch.
authors.affiliation: Division of Cardiac Surgery, Grady Memorial Hospital, Emory University School of Medicine, Atlanta, Georgia 30303, USA. cmutrie@emory.edu
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Mutrie
authors.forename: Shady M
authors.initials: SM
authors.lastname: Eldaif
authors.forename: Grace D
authors.initials: GD
authors.lastname: Rozycki
authors.forename: Edward P
authors.initials: EP
authors.lastname: Chen
authors.forename: Cullen D
authors.initials: CD
authors.lastname: Morris
mesh_terms: D000293:Adolescent; D001011:Aorta / Q000293:injuries / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D050792:Circulatory Arrest, Deep Hypothermia Induced; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D013898:Thoracic Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*