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Interact Cardiovasc Thorac Surg · Jul 2013
Case ReportsCombined transection of the left common carotid artery and delayed left main bronchus disruption after blunt chest trauma.
- Amine Tarmiz, François Dagenais, Jocelyn Grégoire, and Éric Dumont.
- Department of Cardiac Surgery, Quebec Heart and Lung Institute, Québec, QC, Canada.
- Interact Cardiovasc Thorac Surg. 2013 Jul 1; 17 (1): 207-9.
AbstractA 26-year old female was hit in the cervical region by a large block of ice and admitted with stable vital signs and multiple fractures. Chest radiography demonstrated an enlarged mediastinum, and CT scan revealed a transection of the left common carotid artery at its origin, with a false aneurysm. The lesion was repaired using a median sternotomy, cardiopulmonary bypass, moderate hypothermia and cerebral antegrade perfusion through the right axillary artery. The bronchial lesion was diagnosed 2 days later and successfully treated with left posterolateral thoracotomy and the use of direct bronchial anastomosis.
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