title: Combined transection of the left common carotid artery and delayed left main bronchus disruption after blunt chest trauma.
abstract: A 26-year old female was hit in the cervical region by a large block of ice and admitted with stable vital signs and multiple fractures. Chest radiography demonstrated an enlarged mediastinum, and CT scan revealed a transection of the left common carotid artery at its origin, with a false aneurysm. The lesion was repaired using a median sternotomy, cardiopulmonary bypass, moderate hypothermia and cerebral antegrade perfusion through the right axillary artery. The bronchial lesion was diagnosed 2 days later and successfully treated with left posterolateral thoracotomy and the use of direct bronchial anastomosis.
authors.affiliation: Department of Cardiac Surgery, Quebec Heart and Lung Institute, Québec, QC, Canada.
authors.forename: Amine
authors.initials: A
authors.lastname: Tarmiz
authors.forename: François
authors.initials: F
authors.lastname: Dagenais
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Grégoire
authors.forename: Éric
authors.initials: É
authors.lastname: Dumont
mesh_terms: D000328:Adult; D019917:Blood Vessel Prosthesis Implantation; D001980:Bronchi / Q000293:injuries* / Q000601:surgery; D002315:Cardiopulmonary Bypass; D020212:Carotid Artery Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced; D009104:Multiple Trauma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010477:Perfusion / Q000379:methods; D056346:Sternotomy; D013898:Thoracic Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery