title: Traumatic Aneurysm of Innominate Artery Resulting in Tracheal Stenosis and Rapidly Progressive Respiratory Failure; A Case Report and Literature Review.
abstract: Traumatic injuries to great vessels are relative common in trauma practice. Blunt thoracic trauma may result in dissection injury to aorta and innominate artery. We herein present a late presentation of traumatic innominate artery aneurysm. A29-year-old woman presented with dyspnea to our emergency department. She had previous motor-vehicle accident a month before presentation for which had undergone chest tube insertion. She was diagnosed to have traumatic aneurysm of innominate artery resulting in tracheal stenosis resulting in acute life threatening respiratory failure. She underwent simultaneous aneurysm resection and tracheal reconstruction. She was uneventfully discharged from hospital. Any post-traumatic respiratory and cardiovascular symptoms may propound an undiagnosed serious injury to the great vessels. Extra and repetitive imaging studies may help us in better evaluation of traumatized patients with high energy mechanisms and sharp injuries to chest and neck.
authors.affiliation: Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Hossein
authors.initials: H
authors.lastname: Hodjati
authors.affiliation: Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Parviz
authors.initials: P
authors.lastname: Mardani
authors.affiliation: Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Masoud
authors.initials: M
authors.lastname: Mousavi
authors.affiliation: Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Hoseinzadeh
authors.affiliation: Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Sajjad
authors.initials: S
authors.lastname: Ahmadi
authors.affiliation: Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Sahar
authors.initials: S
authors.lastname: Sohrabi
authors.affiliation: Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Golchini
keywords: Innominate artery; Respiratory failure; Surgical remove; Tracheal Stenosis; Traumatic aneurysm