Document Detail


Deep hypothermic circulatory arrest for repair of the brachiocephalic artery and aorta after a gunshot wound to the chest.
MedLine Citation:
PMID:  19876438     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The incidence of penetrating trauma to the brachiocephalic artery and aortic arch is not known, because most patients die of hemorrhage before they receive adequate treatment. Furthermore, when torrential hemorrhage from penetrating trauma is present, the anatomy of the thoracic vasculature can present a challenge for gaining adequate exposure, achieving vascular control, and performing proper repair. We describe the case of a patient with a gunshot wound to the anterior chest; he was placed under cardiopulmonary bypass and deep hypothermic circulatory arrest while we performed a patch repair of the proximal brachiocephalic artery and aortic arch.
Authors:
Christopher J Mutrie; Shady M Eldaif; Grace D Rozycki; Edward P Chen; Cullen D Morris
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  36     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2009  
Date Detail:
Created Date:  2009-10-30     Completed Date:  2010-02-01     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  489-90     Citation Subset:  IM    
Affiliation:
Division of Cardiac Surgery, Grady Memorial Hospital, Emory University School of Medicine, Atlanta, Georgia 30303, USA. cmutrie@emory.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aorta / injuries,  surgery*
Brachiocephalic Trunk / injuries,  radiography,  surgery*
Cardiopulmonary Bypass*
Circulatory Arrest, Deep Hypothermia Induced*
Hemorrhage / etiology,  surgery
Humans
Male
Thoracic Injuries / radiography,  surgery*
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures*
Wounds, Gunshot / radiography,  surgery*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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