Abstract
Thoracic great vessel injuries, while rare, are highly lethal. This chapter will discuss the evaluation of patients with these injuries, operative exposure and intraoperative techniques, and complications of these challenging injuries.
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References
Demetriades D, Rabinowitz B, Pezikis A, Franklin J, Palexas G. Subclavian vascular injuries. Br J Surg. 1987;74:1101–3.
Fulton JO, de Groot KM, Buckels NJ, von Oppell UO. Penetrating injuries involving the intrathoracic great vessels. S Afr J Surg. 1997;35:82–6.
Kalakuntla V, Patel V, Tahoe A, Weaver W. Six-year experience with management of subclavian artery injuries. Am Surg. 2000;66:927–30; discussion 930–1.
Lin PH, Koffron AJ, Guske PJ, Lujan HJ, Heilizer TJ, Yario RF, et al. Penetrating injuries of the subclavian artery. Am J Surg. 2003;185:580–4.
Demetriades D, Chahwan S, Gomez H, Peng R, Velmahos G, Murray J, et al. Penetrating injuries to the subclavian and axillary vessels. J Am Coll Surg. 1999;188:290–5.
Parmley LF, Mattingly TW, Manion WC, Jahnke EJ Jr. Nonpenetrating traumatic injury of the aorta. Circulation. 1958;17:1086–101.
Von Oppell UO, Bautz P, De Groot M. Penetrating thoracic injuries: what we have learnt. Thorac Cardiovasc Surg. 2000;48:55–61.
O’Connor JV, Scalea TM. Penetrating thoracic great vessel injury: impact of admission hemodynamics and preoperative imaging. J Trauma. 2010;68(4):834–7.
Demetriades D. Penetrating injuries to the thoracic great vessels. J Card Surg. 1997;12:173–9; discussion 179–80.
Burack JH, Kandil E, Sawas A, O’Neill PA, Sclafani SJ, Lowery RC, et al. Triage and outcome of patients with mediastinal penetrating trauma. Ann Thorac Surg. 2007;83(2):377–82; discussion 382.
Mirvis SE, Shanmuganathan K, Miller BH, White CS, Turney SZ. Traumatic aortic injury: diagnosis with contrast-enhanced thoracic CT—five year experience at a major trauma center. Radiology. 1996;200:413–22.
Hajarizadeh H, Rohrer MJ, Cutler BS. Surgical exposure of the left subclavian artery by median sternotomy and left supraclavicular extension. J Trauma. 1996;41:136–9.
O’Connor JV, DuBose JJ, Scalea TM. Damage control thoracic surgery: management and outcomes. J Trauma Acute Care Surg. 2014;77(5):660–5.
Gifford SM, Aidinian G, Clouse WD, Fox CJ, Porras CA, Jones WT, et al. Effect of temporary shunting on extremity vascular injury: an outcome analysis from the global war on terror vascular injury initiative. J Vasc Surg. 2009;50(3):549–55.
Dubose JJ, Rajani R, Gilani R, Arthurs ZA, Morrison JJ, Clouse WD, et al. Endovascular Skills for Trauma and Resuscitative Surgery Working Group. Endovascular management of axillo-subclavian arterial injury: a review of published experience. Injury. 2012;43(11):1785–92.
Fabian TC, Richardson JD, Croce MA, Smith JS Jr, Rodman G Jr, Kearney PA, et al. Prospective study of blunt aortic injury: multicenter trial of the American Association for the Surgery of Trauma. J Trauma. 1997;42(3):374–80; discussion 380–3.
Demetriades D, Velmahos GC, Scalea TM, Jurkovich GJ, Karmy- Jones R, Teixeira PG, et al. Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study. J Trauma. 2008;64(3):561–70; discussion 570–1.
DuBose JJ, Leake SS, Brenner M, Pasley J, O’Callaghan T, Luo-Owen X, et al. Contemporary management and outcomes of blunt thoracic aortic injury: a multicenter retrospective study. J Trauma Acute Care Surg. 2015;78(2):360–9.
Akins CW, Buckley MJ, Daggett W, McIlduff JB, Austen WG. Acute traumatic disruption of the thoracic aorta: a ten year experience. Ann Thorac Surg. 1981;31:305–9.
Neschis DG, Scalea TM, Flinn WR, Griffith BP. Blunt aortic injury. N Engl J Med. 2008;359:1708–16.
Malhotra AK, Fabian TC, Croce MA, Weiman DS, Gavant ML, Pate JW. Minimal aortic injury: a lesion associated with advancing diagnostic techniques. J Trauma. 2001;51:1042–8.
Rabin J, Dubose J, Sliker CW, O’Connor JV, Scalea TM, Griffith BP. Parameters for successful nonoperative management of traumatic aortic injury. J Thorac Cardiovasc Surg. 2014;147(1):143–9.
Mosquera VX, Marini M, Lopez-Perez JM, Muniz-Garcia J, Herrera JM, Cao I, et al. Role of conservative management in traumatic aortic injury: comparison of long-term results of conservative, surgical and endovascular treatment. J Thorac Cardiovasc Surg. 2011;142:614–62.
Heal ME, Chowdhury SM, Bandisode VM. Balloon-expandable covered stent implantation for treatment of traumatic aortic pseudoaneurysm in a pediatric patient. J Thorac Cardiovasc Surg. 2016;152(5):e109–11.
Menini Stahlschmidt CM, Von Bahten LC, Nicoluzzi L, Corvello A, Stahlschmidt FL, Guimaraes F. Successful endovascular management of a traumatic aortic rupture in a pediatric patient: case report and literature review. Ulus Travma Acil Cerrahi Derg. 2010;16:84–6.
Gunabushanam V, Mishra N, Calderin J, Glick R, Rosca M, Krishnasastry K. Endovascular stenting of blunt thoracic aortic injury in an 11-year-old. J Pediatr Surg. 2010;45:E15–8.
Martin MA, Barnatan M, Cole F, Long W, Hill J, Karmy-Jones R. A case report of traumatic aortic rupture in a pediatric patient: a possible role for endovascular management as a bridge to definitive repair. J Trauma. 2009;67:E136–9.
Keyhani K, Al E, Safi HJ, Azizzadeh A. Endovascular repair of traumatic aortic injury in a pediatric patient. J Vasc Surg. 2009;50(3):652–4.
Xenos ES, Freeman M, Stevens S, Cassada D, Pacanowski J, Goldman M. Covered stents for injuries of subclavian and axillary arteries. J Vasc Surg. 2003;38(3):451–4.
Carrick MM, Morrison CA, Pham HQ, Norman MA, Marvin B, Lee J, et al. Modern management of traumatic subclavian artery injuries: a single institution’s experience in the evolution of endovascular repair. Am J Surg. 2010;199(1):28–34.
O’Connor JV, Byrne C, Scalea TM, Griffith BP, Neschis DG. Vascular injuries after blunt chest trauma: diagnosis and management. Scand J Trauma Resusc Emerg Med. 2009;17:42.
Agarwal JP, Ogilvie M, Wu LC, Lohman RF, Gottlieb LJ, Franczyk M, et al. Vacuum-assisted closure for sternal wounds: a first-line therapeutic management approach. Plast Reconstr Surg. 2005;116:1035–40.
Jones G, Jurkiewicz MJ, Bostwick J, Wood R, Bried JT, Culbertson J, et al. Management of the infected median sternotomy wound with muscle flaps: the Emory 20-year experience. Ann Surg. 1997;225:766–78.
O’Connor JV, Chi A, Joshi M, Dubose J, Scalea TM. Post- traumatic empyema: aetiology, surgery and outcome in 125 consecutive patients. Injury. 2013;44(9):1153–8.
Lee TC, Hughes GC. Complications of thoracic endovascular stent grafts. In: Franco KL, Thourani VH, editors. Cardiothoracic surgery review. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2012.
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Moran, B.J., Kelley, K.M., O’Connor, J.V. (2021). Thoracic Vascular Injuries: Techniques. In: Scalea, T.M. (eds) The Shock Trauma Manual of Operative Techniques. Springer, Cham. https://doi.org/10.1007/978-3-030-27596-9_17
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DOI: https://doi.org/10.1007/978-3-030-27596-9_17
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