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Emmanouil I. Kapetanakis
Louis T. Kanda
Jennifer L. Ellis
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Ann Thorac Surg 2006;81:348-350
© 2006 The Society of Thoracic Surgeons

Case report

Traumatic Partial Avulsion of a Single Right Subclavian Artery from the Aortic Arch and Definitive Repair

Emmanouil I. Kapetanakis, MD a , Pamela Sears-Rogan, MD b , Richard S. Young, MD c , Louis T. Kanda, MD a , Jennifer L. Ellis, MD a , *

a Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center, Washington, DC, USA
b Echocardiography Laboratory, Division of Cardiology, Department of Medicine, Washington Hospital Center, Washington, DC, USA
c Department of Radiology, Washington Hospital Center, Washington, DC, USA

Accepted for publication August 23, 2004.

* Address correspondence to Dr Ellis, Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center, 110 Irving St, NW, Room 1F-1207, Washington, DC 20010–2975.

Blunt injury to the right subclavian artery is a rare complication of severe deceleration trauma often associated with significant morbidity and mortality. We describe an atypical presentation in a patient who sustained a traumatic avulsion of his right subclavian artery arising off the aortic arch. An interposition graft was used to restore the continuity of the artery to the ascending thoracic aorta.






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Copyright © 2006 by The Society of Thoracic Surgeons.