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Ann Thorac Surg 2002;74:237-239
© 2002 The Society of Thoracic Surgeons

Case report

Combined endovascular and open repair of a penetrating innominate artery and tracheal injury

Seth B. Blattman, MD*a, Gregg S. Landis, MDb, Mark Knight, MDa, Thomas F. Panetta, MDb, Salvatore J.A. Sclafani, MDc, Joshua H. Burack, MDd

a Department of Surgery, Downstate Medical Center, Brooklyn, New York, USA
b Department of Vascular Surgery, Downstate Medical Center, Brooklyn, New York, USA
c Department of Radiology, Downstate Medical Center, Brooklyn, New York, USA
d Department of Cardiothoracic Surgery, Downstate Medical Center, Brooklyn, New York, USA

Accepted for publication February 17, 2002.

* Address reprint requests to Dr Blattman, Department of Surgery, Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY 11203 USA
e-mail: sethblattman{at}doctor.com

Endovascular therapy affords the opportunity to decrease surgical morbidity and improve operative planning in complex penetrating injuries of the chest. In this case report we describe a hemodynamically stable patient with a single gunshot wound to the base of the neck (zone I), with combined vascular and tracheal injuries. We present a novel approach to the repair of this type of injury using combined endovascular and open techniques.




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