Endovascular treatment of brachiocephalic artery war-related injury.
BACKGROUND
Injuries to the innominate artery are rare, but potentially fatal. Early diagnosis and treatment may avoid life-threatening complications. Endovascular surgery often has lower morbidity and mortality rates than conventional surgery.


METHODS
We reported the case of a 28-year-old Yemenite soldier who presented with a shrapnel-related chest puncture wound following a shell explosion in Djibouti causing a 5 mm pseudoaneurysm of the innominate artery without associated complications. After medical repatriation to France, the pseudoaneurysm was treated by endovascular exclusion using a covered stent.


CONCLUSIONS
Endovascular treatment of supra-aortic trunk lesions is an alternative to surgery with fewer postoperative complications, but long-term follow-up is lacking.
a Vascular Surgery Department , HIA Percy , Clamart , France.
Camille
C
Choufani
b Colmar Armed Forces Medical Center , Colmar , France.
Olivier
O
Aoun
a Vascular Surgery Department , HIA Percy , Clamart , France.
Amélie
A
Mlynski
a Vascular Surgery Department , HIA Percy , Clamart , France.
Guillaume
G
Boddaert
a Vascular Surgery Department , HIA Percy , Clamart , France.
Xavier
X
de Kerangal
a Vascular Surgery Department , HIA Percy , Clamart , France.
Charles
C
Pierret
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000293:injuries*; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D015607:Stents; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D000067398:War-Related Injuries / Q000000981:diagnostic imaging / Q000601:surgery*
Innominate artery; endovascular; penetrating injury