title: Successful surgical treatment of traumatic transection of the innominate artery: a case report.
abstract: Blunt traumatic injury to the innominate artery is relatively rare. We present the case of a 40-year-old woman who fell from a fourth-floor window and was transferred to our hospital with multiple injuries, hemodynamic shock, and disturbance of consciousness. Computed tomography with image reconstruction revealed transection of the innominate artery near its origin. Emergent surgery required establishment of cardiopulmonary bypass before sternotomy in preparation for uncontrollable hemorrhage. Proximal aortic arch replacement with a branch to the right axillary artery was successfully performed using circulatory arrest and selective cerebral perfusion.
authors.affiliation: Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan.
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Bito
authors.affiliation: Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan.
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Hirai
authors.affiliation: Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan.
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Sasaki
authors.affiliation: Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan.
authors.forename: Mitsuharu
authors.initials: M
authors.lastname: Hosono
authors.affiliation: Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Nakahira
authors.affiliation: Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Suehiro
authors.affiliation: Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kaku
authors.affiliation: Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kubota
authors.affiliation: Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Miyabe
authors.affiliation: Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan.
authors.forename: Shigefumi
authors.initials: S
authors.lastname: Suehiro
keywords: innominate artery; rupture; trauma