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Ann Thorac Surg 2006;82:1095-1097
© 2006 The Society of Thoracic Surgeons

Case report

Traumatic Innominate Artery Disruption and Aortic Valve Rupture

Michael W.A. Chu, MD, MEd, Mary Lee Myers, MD*

Division of Cardiac Surgery, Department of Surgery, University of Western Ontario, London, Ontario, Canada

Accepted for publication January 10, 2006.

* Address correspondence to Dr Myers, Division of Cardiac Surgery, London Health Sciences Centre, Room B6-114, 339 Windermere Rd, London, Ontario, N6A 5A5 Canada (Email: ml.myers{at}lhsc.on.ca).

Rapid deceleration injury causing blunt thoracic trauma can result in injury to the thoracic aorta. Rupture of the aortic isthmus is the most common presentation; however, injury can occur more proximally in the arch vessels or the aortic root. We present an unusual case of simultaneous innominate artery disruption with aortic valve rupture after a motor vehicle accident, and we discuss issues surrounding the diagnosis and operative management of this rare, but life-threatening condition.






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