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Traumatic Injury of the Innominate Artery: A Case Report

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Although the innominate artery is protected by a bony structure, traumatic injury of this vessel has been reported. These injuries usually occur after blunt chest trauma or sudden deceleration, and are often coupled with other associated injuries. However,we experienced an unusual occurrence where a deceased patient with no history of blunt trauma and no apparent injury on the chest, head, or neck showed an isolated injury of the innominate artery with extensive hemorrhage at the postmortem examination. In the present report, we describe the present case, indicating the characteristics of the innominate artery injury, and review the associated literature.

Abstract

Although the innominate artery is protected by a bony structure, traumatic injury of this vessel has been reported. These injuries usually occur after blunt chest trauma or sudden deceleration, and are often coupled with other associated injuries. However,we experienced an unusual occurrence where a deceased patient with no history of blunt trauma and no apparent injury on the chest, head, or neck showed an isolated injury of the innominate artery with extensive hemorrhage at the postmortem examination. In the present report, we describe the present case, indicating the characteristics of the innominate artery injury, and review the associated literature.

참고문헌 (10)

  1. Stover S, "Blunt innominate artery injury", Am Surg, 67, pp.757~759 (2001)
  2. Karmy-Jones R, "Traumatic rupture of the innominate artery", Eur J Cardiothorac Surg, 23, pp.782~787 (2003)
  3. Anastasiadis K, "Traumatic innominate artery transection", J Cardiovasc Surg, 43, pp.697~700 (2002)
  4. Dhaliwal RS, "Traumatic giant pseudoaneurysm of innominate artery", Asian Cardiovasc Thorac Ann, 13, pp.369~371 (2005)
  5. Hirose H, "Blunt injury of proximal innominate artery", Ann Thorac Cardiovasc Surg, 10, pp.130~132 (2004)
  6. Mousa AY, "Delayed presentation of traumatic innominate artery injury", J Vasc Surg, 51, pp.1014~ (2010)
  7. Cothren CC, "Postraumatic innominate artery pseudoaneurysm", J Am Coll Surg, 201, pp.806~807 (2005)
  8. Rabus MB, "Pseudoaneurysm of brachiocephalic artery caused by blunt chest trauma", Thorac Cardiovasc Surg, 56, pp.301~303 (2008)
  9. Lee UY, "Blunt Force Injuries in a Drowning Victim", Korean J Leg Med, 29, pp.152~155 (2005)
  10. Spitz WU, "Medicolegal investigation of death. 4th ed", pp.847~ (2004), Charles C Thomas Publisher

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