Modified Trapdoor Exposure for Open Repair of Brachiocephalic Artery Branch Injury: Case Report

Abstract

Central venous catheterization is associated with a wide spectrum of vascular complications, including inadvertent arterial puncture. We describe 2 cases of successful open surgical repair of iatrogenic cervicothoracic arterial injuries secondary to central venous catheterization. In both patients, a novel transmanubrial approach was incorporated to expose and control the brachiocephalic artery.

Keywords

brachiocephalic pseudoaneurysm iatrogenic

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References

Kusminsky RE Complications of central venous catheterization . J Am Coll Surg. 2007;204:681-696.

Merrer J. , De Jonghe B. , Golliot F. , et al; French Catheter Study Group in Intensive Care. Complications of femoral and subclavian venous catheterization in critically ill patients: a randomized controlled trial. JAMA. 2001 286:700-707.

Mansfield PF , Hohn DC , Fornage BD , Gregurich MA , Ota DM Complications and failures of subclavian-vein catheterization. N Engl J Med. 1994;331:1735-1738.

Chloroyiannis Y. , Reul GJ Iatrogenic left subclavian artery-to-left brachiocephalic vein fistula: successful repair without a sternotomy. Tex Heart Inst J. 2004;31: 172-174.

Friedman J. , Fabre J. , Netscher D. , Jaksic T. Treatment of acute neonatal vascular injuries-the utility of multiple interventions . J Pediatr Surg. 1999;34:940-945.

Holder R. , Hilton D. , Martin J. , Harris PL , Rowlands PC , McWilliams RG Percutaneous thrombin injection of carotid artery pseudoaneurysm. J Endovasc Ther. 2002; 9:25-28.

Coldwell DM , Novak Z. , Ryu RK , et al. Treatment of post-traumatic internal carotid arterial pseudoaneurysms with endovascular stents. J Trauma. 2000;48: 470-472.

McCready RA , Divelbiss JL , Bryant MA , Denardo AJ , Scott JA Endoluminal repair of carotid artery pseudoaneurysms: a word of caution. J Vasc Surg. 2004;40: 1020-1023.

Du Toit DF , Leith JG , Strauss DC , Blaszczyk M. , Odendaal Jde V. , Warren BL Endovascular management of traumatic cervicothoracic arteriovenous fistula. Br J Surg . 2003;90:1516-1521.

10.

Izzat MB , Yim AP , El-Zufari MH , Khaw KS Upper T mini-sternotomy for aortic valve operations. Chest . 1998;114:291-294.

11.

Kim PY , Klima U. , Lichtenberg A. , Kutschka I. , Haverich A. A new minimally invasive approach to the subclavian artery. Ann Thorac Surg. 1998;66:2104-2106.