Injuries to the branches of the aortic arch are rare and may be caused by blunt, penetrating, blast or iatrogenic trauma. Innominate vascular injury is a rare entity, particularly in blunt trauma. It is estimated that 71% of patients with innominate injuries die before arrival at the hospital. We report here a successfully managed case of a combined blunt trauma of the innominate artery and transection of the left innominate vein after blunt injury to the chest.
MagilliganDJ, DavilaJC. Innominate artery disruption due to blunt trauma. Arch Surg1979;114:307–9
4.
ChenMY, ReganJD, D'AmoreJM, RouthWD, MeredithJW, DyerRB. Role of angiography in the detection of aortic branch vessel injury after blunt thoracic trauma. J Trauma2001;51:1166–71
5.
SnellemanJA, TadrosT, van der LugtA, BogersAJ. Traumatic rupture of the innominate and left common carotid artery: case report. J Trauma2002;52:571–2
6.
MauneyMM, CasadaDC, KazaAK, MerlottiG. Management of innominate artery associated with a bovine arch. J Trauma2002;52:1002–4
7.
RuebbenA, MerloM, VerriA, Combined surgical and endovascular treatment of traumatic pseudoaneurysm of the brachiocephalic trunk with anatomical anomaly. J Cardiovasc Surg (Torino)1997;38:173–6
8.
KeenG, ThomasWE. Management of closed injuries of the innominate artery. Thorax1982;37:381–3
9.
HowellsGA, HernandezDA, OltSL, TepeNA, VogelM. Blunt injury of the ascending aorta and aortic arch: repair with hypothermic circulatory arrest. J Trauma1998;44:716–22
10.
PretreR, BruschweilerI, FaiduttiB. Blunt injuries to the innominate artery. Ann Vasc Surg1993;7:470–3
11.
AxisaBM, LoftusIM, FishwickG, SpytT, BellPR. Endovascular repair of an innominate artery false aneurysm following blunt trauma. J Endovasc Ther2000;7:245–50
12.
SzetoWY, FairmanRM, AckerMA, Emergency endovascular deployment of stent graft in the ascending aorta for contained rupture of innominate artery pseudoaneurysm in a pediatric patient. Ann Thorac Surg2006;81:1872–5