Innominate artery war injury
Aim. A case is reported of successfully surgically treated explosive war injury to the innominate artery. Case report. A 26 - year-old soldier was injured in combat by a fragment of mortar shell. In the field hospital, the wound gauze packing was applied, followed by orotracheal intubation and thora...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2005-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500504317I.pdf |
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| _version_ | 1849766528558301184 |
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| author | Ilić Radoje Kronja Goran Marković Zoran Tišma Svetislav |
| author_facet | Ilić Radoje Kronja Goran Marković Zoran Tišma Svetislav |
| author_sort | Ilić Radoje |
| collection | DOAJ |
| description | Aim. A case is reported of successfully surgically treated explosive war injury to the innominate artery. Case report. A 26 - year-old soldier was injured in combat by a fragment of mortar shell. In the field hospital, the wound gauze packing was applied, followed by orotracheal intubation and thoracic drainage. The soldier was admitted to MMA six hours later. Physical examination, on admission, revealed huge swelling of the neck, the absence of pulse in the right arm and the right common carotid artery. Chest x-ray revealed hemopneumothorax of the right side and the foreign metal body in the projection of the right sternoclavicular joint. Due to the suspicion of large vessel injury, a median sternotomy was immediately performed. Surgery revealed disrupted bifurcation of the right innominate artery, so the ligation was performed. Aortography was performed postoperatively, followed by the reconstruction of innominate bifurcation with synthetic grafts. Control aortography showed good graft patency, and the patient was discharged from the hospital in good general condition with palpable pulses and mild anisocoria as a sole neurological sequela. Conclusion. A rare and life-threatening injury was successfully managed, mainly due to the rational treatment carried out in the field hospital that helped the injured to survive and arrive to the institution capable of performing the most sophisticated diagnostic and therapeutic procedures. |
| format | Article |
| id | doaj-art-ad0ce74e47e147f6b679af49f152d796 |
| institution | DOAJ |
| issn | 0042-8450 |
| language | English |
| publishDate | 2005-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-ad0ce74e47e147f6b679af49f152d7962025-08-20T03:04:31ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502005-01-0162431732110.2298/VSP0504317IInnominate artery war injuryIlić RadojeKronja GoranMarković ZoranTišma SvetislavAim. A case is reported of successfully surgically treated explosive war injury to the innominate artery. Case report. A 26 - year-old soldier was injured in combat by a fragment of mortar shell. In the field hospital, the wound gauze packing was applied, followed by orotracheal intubation and thoracic drainage. The soldier was admitted to MMA six hours later. Physical examination, on admission, revealed huge swelling of the neck, the absence of pulse in the right arm and the right common carotid artery. Chest x-ray revealed hemopneumothorax of the right side and the foreign metal body in the projection of the right sternoclavicular joint. Due to the suspicion of large vessel injury, a median sternotomy was immediately performed. Surgery revealed disrupted bifurcation of the right innominate artery, so the ligation was performed. Aortography was performed postoperatively, followed by the reconstruction of innominate bifurcation with synthetic grafts. Control aortography showed good graft patency, and the patient was discharged from the hospital in good general condition with palpable pulses and mild anisocoria as a sole neurological sequela. Conclusion. A rare and life-threatening injury was successfully managed, mainly due to the rational treatment carried out in the field hospital that helped the injured to survive and arrive to the institution capable of performing the most sophisticated diagnostic and therapeutic procedures.http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500504317I.pdfbrachiocephalic trunkwoundspenetratingwoundsgunshotcardiovascular surgical proceduresaortographymilitary medicinewar |
| spellingShingle | Ilić Radoje Kronja Goran Marković Zoran Tišma Svetislav Innominate artery war injury Vojnosanitetski Pregled brachiocephalic trunk wounds penetrating wounds gunshot cardiovascular surgical procedures aortography military medicine war |
| title | Innominate artery war injury |
| title_full | Innominate artery war injury |
| title_fullStr | Innominate artery war injury |
| title_full_unstemmed | Innominate artery war injury |
| title_short | Innominate artery war injury |
| title_sort | innominate artery war injury |
| topic | brachiocephalic trunk wounds penetrating wounds gunshot cardiovascular surgical procedures aortography military medicine war |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500504317I.pdf |
| work_keys_str_mv | AT ilicradoje innominatearterywarinjury AT kronjagoran innominatearterywarinjury AT markoviczoran innominatearterywarinjury AT tismasvetislav innominatearterywarinjury |