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Ann Thorac Surg 2006;81:1112-1114
© 2006 The Society of Thoracic Surgeons

Case report

Aortic Reconstruction After Complex Injury of the Mid-Transverse Arch

Daniel L. Serna, MD a , Jay S. Miller, MD b , Edward P. Chen, MD a , *

a Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia
b Peachtree Vascular Associates, Atlanta, Georgia

Accepted for publication February 7, 2005.

* Address correspondence to Dr Chen, Division of Cardiothoracic Surgery, Emory University School of Medicine, 1365 Clifton Rd NE, Suite 2236, Atlanta, GA 30322 (Email: edward_chen{at}emoryhealthcare.org).

We report the case of a 28-year-old man who suffered a transection of the mid-transverse aortic arch between the innominate and left common carotid artery with complete avulsion of the left common carotid artery after blunt trauma. This patient underwent successful aortic arch replacement proximal to the left subclavian artery and reimplantation of the innominate and left carotid arteries using profound hypothermic circulatory arrest and selective antegrade cerebral perfusion. A literature review revealed no other previous reports of survival after this type of injury.




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