Traumatic avulsion of the innominate and left carotid arteries

Chronic innominate artery dissection after blunt thoracic trauma: case report

Blunt innominate chest trauma is relatively rare, with only 70 cases being reported in the surgical literature since 1960. This report describes a 20-year-old male who sustained a blunt chest injury that resulted in an innominate artery dissection. The patient's clinical course and management are discussed, as well as a review of the surgical literature.

Approaches to trauma involving the major vessels of the thorax

Thoracic great vessel injury accounts for a significant amount of the acute mortality rate from trauma. Early recognition permits early repair, usually best accomplished by the simplest yet most effective technique. Use of prosthetic material is encouraged. Cardiopulmonary bypass, hypothermia, and shunts are rarely required.