HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Daniel Goldfaden Paul Seifert Frank Milloy Paul Thomas Sidney Levitsky Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Goldfaden, D. Articles by Levitsky, S. Search for Related Content PubMed PubMed Citation Articles by Goldfaden, D. Articles by Levitsky, S.

Ann Thorac Surg 1986;41:213-215
© 1986 The Society of Thoracic Surgeons

---

Articles

Combined Tracheal Transection and Innominate Artery Disruption from Blunt Chest Trauma

Department of Surgery, University of Illinois College of Medicine, Chicago, IL

Accepted for publication April 18, 1985.

^* Address reprint requests to Dr. Goldfaden, Department of Surgery, University of Illinois College of Medicine, PO Box 6998, Chicago, IL 60680

Both transection of the trachea and injury of the aorta and its arch vessels can occur after blunt chest trauma; however, the combination of these injuries in 1 patient is exceedingly rare. This report of a patient with distal trachea transection and proximal innominate artery disruption from blunt chest trauma reviews some of the important factors to be considered in managing these injuries.

Management of the airway must be planned before the operative procedure is begun and can be facilitated by the use of a sterile anesthesia circuit passed on to the operative field. Exposure of tracheal injuries as low as the carina can be achieved through sternotomy incision if this approach is indicated for repair of the associated vascular injury. The use of prosthetic materials should be avoided in vascular injury repair due to contamination of the field from the associated airway disruption. Attention to postoperative bronchial hygiene is mandatory for successful outcome after tracheal anastomosis.

This article has been cited by other articles:

				J. Marzelle, R. Nottin, P. Dartevelle, F. L. Gayet, M. Navajas, and A. R. Miranda Combined ascending aorta rupture and left main bronchus disruption from blunt chest trauma Ann. Thorac. Surg., May 1, 1989; 47(5): 769 - 771. [Abstract] [PDF]

				S. H. Sadow, C. A. Murray III, R. F. Wilson, S. Mansoori, and S. D. Harrington Traumatic Rupture of Ascending Aorta and Left Main Bronchus Ann. Thorac. Surg., June 1, 1988; 45(6): 682 - 683. [Abstract] [PDF]