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Brachiocephalic trunk and left brachiocephalic vein injuries following penetrating right sternoclavicular junction trauma: a case report

Brachiocephalic trunk and left brachiocephalic vein injuries following penetrating right sternoclavicular junction trauma: a case report
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摘要 A 46-year-old male sustained severe pe- netrating injury by a sharp instrument to his right upper sternoclavicular junction. The wound tract was from su- prasternal notch to mediastinum. Exploratory operation via median sternotomy under general anesthesia found a large mediastinal septum hematoncus, as well as brachiocephalic trunk and left brachiocephalic vein injuries. The perforating vascular wounds were repaired with 5-0 prolene suture. He was recovered uneventfully and discharged 9 days after operation. There was no sequel found during 7 years fol- low-up.
出处 《Chinese Journal of Traumatology》 CAS CSCD 2013年第5期286-287,共2页 中华创伤杂志(英文版)
关键词 Brachiocephalic trunk Brachiocephalic veins Thoracic injuries Wounds penetrating 病例报告 损伤 静脉 穿透性 创伤 全身麻醉 手术
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参考文献5

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  • 2O'Connor JV, Scalea TM. Penetrating thoracic great vessel injury: impact of admission hemodynamics and preoperative imaging. J Trauma 20 I 0;68(4):834-7.
  • 3Davidovic L, llic N, Cvetkovic S, et al. Blunt injury of the innominate artery and left innominate vein. Vascular 20 II ; J 9(4): 223-5.
  • 4Werre A, van der Vliet lA, Biert J, et al. Endovascular management of a gunshot wound injury to the innominate artery and brachiocephalic vein. Vascular 2005; 13(1 ):58-6l.
  • 5Fulton JO, Brink JG. Complex thoracic vascular injury repair using deep hypothermia and circulatory arrest. Ann Thorac Surg 1997;63(2):557-9.

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