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[Iatrogenic injury of the brachiocephalic arterial trunk and its branches--case report].
- Source :
-
Acta medica Croatica : casopis Hravatske akademije medicinskih znanosti [Acta Med Croatica] 2006 Dec; Vol. 60 (5), pp. 497-9. - Publication Year :
- 2006
-
Abstract
- Iatrogenic vascular traumas are increasing and their proportion exceeds 40% of all vascular injuries. We report on a rare case of iatrogenic injury of the brachiocephalic arterial trunk during surgical intervention due to postirradiation arteriopathy, which was successfully treated with a silver prosthesis graft. A 58-year-old male underwent surgery for metastases of papillary carcinoma of the thyroid gland, located in lymph nodes adjacent to the right common carotid artery and right subclavian artery. During the surgery, there was an intraoperative injury of the brachiocephalic arterial trunk that included spontaneous rupture and tear of the subclavian and common carotid artery, as the result of extreme fragility of the arterial wall, probably due to the previous irradiation therapy. Emergency sternotomy and clavicle resection were followed by blood flow reconstruction by use of an Y prosthesis that was applied for terminoterminal anastomosis between the brachiocephalic trunk to common carotid artery and subclavian artery. The authors concluded that irradiation therapy may lead to progressive arteriopathy in affected arteries.
- Subjects :
- Blood Vessel Prosthesis Implantation
Brachiocephalic Trunk radiation effects
Brachiocephalic Trunk surgery
Carotid Artery, Common
Humans
Lymphatic Metastasis
Male
Middle Aged
Neck
Radiation Injuries
Subclavian Artery radiation effects
Subclavian Artery surgery
Thyroid Neoplasms radiotherapy
Thyroid Neoplasms surgery
Brachiocephalic Trunk injuries
Carotid Artery Injuries etiology
Intraoperative Complications
Lymph Node Excision
Subclavian Artery injuries
Subjects
Details
- Language :
- Croatian
- ISSN :
- 1330-0164
- Volume :
- 60
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Acta medica Croatica : casopis Hravatske akademije medicinskih znanosti
- Publication Type :
- Academic Journal
- Accession number :
- 17217108