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Ann Thorac Surg 1975;19:468-471
© 1975 The Society of Thoracic Surgeons

Articles

Successful Treatment of Transection of Aortic Arch and Innominate Artery

Luis H. Reyes, M.D., Pedro A. Rubio, M.D., F.L. Korompai, M.D., Gene L. Guinn, M.D.*

From the Department of Surgery, Baylor College of Medicine, and the Division of Thoracic and Cardiovascular Surgery, Veterans Administration Hospital, Houston, Tex.

Accepted for publication September 27, 1974.

* Address reprint requests to Dr. Guinn, Chief, Thoracic and Cardiovascular Surgery, Veterans Administration Hospital, 2002 Holcombe Blvd., Houston, Tex. 77031.

A patient was seen with a widened mediastinum following rapid deceleration injury. A retrograde angiogram showed rupture of the transverse aortic arch and occlusion of the origin of the innominate artery. At operation cardiopulmonary bypass with systemic, cerebral, and myocardial preservation were used to provide a safe approach for inserting a graft to successfully restore normal circulation.






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Copyright © 1975 by The Society of Thoracic Surgeons.