Proximal Subclavian artery injury managed without performing median sternotomy: a case report

Author(s):  
Zia Ur Rehman

Subclavian artery runs from chest to upper arm and is in close proximity to many important structures in the limited space. Subclavian artery injuries are rare and tough to manage. It is challenging to achieve proximal arterial control which in most cases require median sternotomy with its associated morbidity.  Iatrogenic injuries to subclavian artery can happen in a hostile operative field as with patients with large neck tumors. We present a 35-year-male who had right subclavian artery injury during neck dissection which was repaired successfully via supra-clavicular approach. Continuous...

2020 ◽  
Vol 67 ◽  
pp. 563.e7-563.e11
Author(s):  
Jill Smolevitz ◽  
Leo Daab ◽  
Timothy Liem ◽  
Amani Politano

2014 ◽  
Vol 67 (2) ◽  
pp. 139
Author(s):  
O-Sun Kwon ◽  
Hyeon Jeong Lee ◽  
Won-Sung Kim ◽  
Jung-Min Hong ◽  
Hyun-Jun Cho

2014 ◽  
Vol 10 (1) ◽  
pp. E183-E189
Author(s):  
Laura A. Snyder ◽  
Cameron G. McDougall ◽  
Robert F. Spetzler ◽  
Joseph M. Zabramski

Abstract BACKGROUND AND IMPORTANCE: Three-dimensional ultrasound navigation has been performed to assist in resection of cranial and spinal tumors, but to the best of our knowledge, no one has described the use of real-time 3-dimensional ultrasound navigation in the resection of neck tumors beyond biopsy. CLINICAL PRESENTATION: This case report describes the use of 3-dimensional ultrasonic navigation in assisting with resection of a large neck paraganglioma. The 3-dimensional ultrasonic navigation improved real-time visualization of the carotid arteries, the trachea, and other vital structures. CONCLUSION: The use of 3-dimensional ultrasound navigation should be considered in aiding resection of large neck tumors because it can allow more efficient and safer tumor resection.


2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Ciss Amadou Gabriel ◽  
Dieng Papa Adama ◽  
Ba Papa Salmane ◽  
Gaye Magaye ◽  
Diatta Souleymane ◽  
...  

The authors presented a case of a 50-year-old patient with multiple trauma who suffered from the inadvertent cannulation of the main pulmonary artery at the second attempt of left chest drainage. Pulmonary artery injury has been suspected because early chest tube production was 2300 mL of blood. CT scan showed injury of the trunk of the pulmonary artery, left hemothorax, and suspect damage of the right branch of the pulmonary artery. That chest tube touched the posterior wall of ascending aorta. Surgical approach was median sternotomy. Exploration showed a perforation of the trunk of pulmonary artery without lesion of the right pulmonary branch and the posterior wall of the ascending aorta. The lesion was repaired under normothermic partial cardiopulmonary bypass. Postoperative period was free of events. Review of the literatures for this rare case report has been done.


2021 ◽  
pp. 021849232110198
Author(s):  
Yohei Kawatani ◽  
Takeshi Mochizuki ◽  
Takaki Hori

There are few reports on brachial artery injury treated with stent-grafts. A 69-year-old man presented with a crush injury to the left upper arm. Enhanced computed tomography revealed left humerus fracture and disruption of the blood flow of the brachial artery along with paresis of the forearm. Following external fixation of the fracture, we performed endovascular therapy for brachial artery injury. Using real-time ultrasound imaging guidance, the injured lesion was crossed by the wire, and Viabahn endoprosthesis was placed in the left brachial artery. Hemostasis was achieved, and blood flow to the forearm was restored. Subsequently, the paresis improved.


2017 ◽  
Vol 08 (10) ◽  
pp. 444-450 ◽  
Author(s):  
Raminta Černevičiūtė ◽  
Shaheel M. Sahebally ◽  
Ahmad Mourad ◽  
Donatas Inčiūra ◽  
Aleksandras Antuševas

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