Korean J Thorac Cardiovasc Surg.  1997 Oct;30(10):1028-1031.

Innominate Artery Rupture Caused by Blunt Chest Trauma: A Case Report

• Lee G
• Kim YI

Abstract

Rupture of an innominate artery caused by blunt chest trauma is extremely rare because this artery is short and relatively well protected by the bony cage. This report describes a 37-year-old male who sustained a blunt chest injury that resulted in an innominate artery rupture, detected by chest CT and thoracic aortography. The patient underwent an urgent operation through median sternotomy. A 3 by 3 cm sized pseudoaneurysm of proximal innominate artery was found with a complete intimal tear. After the origin of the innominate artery was closed, the injured segment of artery was excised and an aorto-innominate artery bypass with a 10 mm Gore-tex graft was performed without use of a shunt. The patient was discharged 20 days later without neurologic complications and had equal blood pressure in both arms.

Keyword

Chest trauma; Innominate artery

MeSH Terms

Adult
Aneurysm, False
Aortography
Arm
Arteries
Blood Pressure
Brachiocephalic Trunk*
Humans
Male
Polytetrafluoroethylene
Rupture*
Sternotomy
Thoracic Injuries
Thorax*
Tomography, X-Ray Computed
Transplants
Polytetrafluoroethylene