[Repair of Traumatic Brachiocephalic Artery Pseudoaneurysm by Open Surgery:Report of a Case].

Q4 Medicine Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-03-01
Sara Kubo, Aya Tanaka, Atsushi Omura, Kotaro Tsunemi, Takanori Oka, Yutaka Okita
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Abstract

The patient is a 56-year-old man. He fell while playing golf and sustained a contusion on his right chest. He fell into hemorrhagic shock during surgery for a right clavicle fracture at a nearby hospital and required cardiac resuscitation. Computed tomography( CT) scan revealed left pneumothorax and right hemothorax, and a contrast-enhanced CT scan revealed a pseudoaneurysm at the brachiocephalic artery origin. He underwent surgery three weeks later. Surgery was performed through a median sternotomy and partial arch replacement (zone 2) with antegrade cerebral perfusion under moderate hypothermia. He was discharged on postoperative day 10 without significant complications.

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[开放手术修复外伤性肱脑动脉假动脉瘤:一例病例报告]。
患者是一名 56 岁的男子。他在打高尔夫球时摔倒,右胸挫伤。他在附近医院接受右锁骨骨折手术时失血性休克,需要进行心脏复苏。计算机断层扫描(CT)显示左侧气胸和右侧血胸,对比增强 CT 扫描显示肱脑动脉起源处有一个假性动脉瘤。三周后,他接受了手术。手术通过胸骨正中切口进行,并在中度低体温下进行了部分动脉弓置换(2区)和逆行脑灌注。他在术后第 10 天出院,未出现明显并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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