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Ann Thorac Surg 2001;72:2134-2136
© 2001 The Society of Thoracic Surgeons

Case report

Management of innominate artery injury in the setting of bovine arch anomaly

Michael M. Mauney, MDa, David C. Cassada, MD*a, Aditya K. Kaza, MDa, Stewart M. Long, MDa, John A. Kern, MDa

a Department of Thoracic and Cardiovascular Surgery, University of Virginia Health System, Charlottesville, Virginia, USA

Accepted for publication March 23, 2001.

* Address reprint requests to Dr Cassada, Department of Thoracic and Cardiovascular Surgery, University of Virginia Health System, MR4, Room 3111, PO Box 801359, Charlottesville, VA 22908-1359, USA
e-mail: dcc3s{at}hscmail.mcc.virginia.edu

Blunt injury to the aortic arch vessels is rare and can be life-threatening. Historically urgent repair of these injuries is emphasized. We describe the initial nonoperative management of a blunt injury to the brachiocephalic trunk in the setting of bovine arch anomaly, followed by delayed surgical management.




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