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Ann Thorac Surg 2006;81:343-345
© 2006 The Society of Thoracic Surgeons

Case report

Anterior Approach to Traumatic Mid Aortic Arch Transection

Bradley G. Leshnower, MD a , Harold I. Litt, MD b , Thomas G. Gleason, MD a , *

a Department of Surgery, Division of Cardiothoracic Surgery, Philadelphia, Pennsylvania, USA
b Department of Radiology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA

Accepted for publication August 30, 2004.

* Address correspondence to Dr Gleason, 3400 Spruce St, Silverstein 6, Division of Cardiothoracic Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA 19103 (Email: thomas.gleason{at}uphs.upenn.edu).

The majority of nonpenetrating traumatic injuries to the thoracic aorta are fatal. Survivors of aortic transection tend to have injuries occurring at the isthmus. We report a rare, blunt traumatic complete transection of the mid aortic arch between the innominate and left common carotid arteries diagnosed by multidetector computed tomography of the chest. The repair was approached anteriorly and required aortic arch replacement.




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