Abstract
Blunt trauma involving the innominate and carotid arteries is a rare occurrence that can be lethal or have serious neurologic sequelae. To our knowledge this is the first reported case in the international literature describing the association of posttraumatic innominate, artery aneurysm with total occlusion and thrombosis of the common carotid artery at its origin by an intimal flap. The diagnostic problems created by this unusual injury are discussed. In this case the patency of the distal portion of the common and internal carotid arteries was demonstrated by magnetic resonance angiography (MRA), whereas color duplex and digital arteriographic studies were unsuccessful. This demonstration was crucial to patient management. Since no studies are available comparing color duplex imaging, conventional arteriography, and MRA in the evaluation of blunt carotid trauma, this case study is presented to demonstrate the utility of MRA in emergency situations. In addition, we analyze the possible pathogenesis and discuss the surgical treatment.
| Original language | English |
|---|---|
| Pages (from-to) | 368-373 |
| Number of pages | 6 |
| Journal | Annals of Vascular Surgery |
| Volume | 7 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jul 1993 |
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All Science Journal Classification (ASJC) codes
- Cardiology and Cardiovascular Medicine
Cite this
Posttraumatic innominate artery aneurysm with occlusion of the common carotid artery at its origin by an intimal flap. / Edwards, John D.; Sapienza, Paolo; Lefkowitz, David M.; Thorpe, Patricia E.; McGregor, Patrick E.; Agrawal, Devendra K.; Samocha, Mary S.
In: Annals of Vascular Surgery, Vol. 7, No. 4, 07.1993, p. 368-373.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Posttraumatic innominate artery aneurysm with occlusion of the common carotid artery at its origin by an intimal flap
AU - Edwards, John D.
AU - Sapienza, Paolo
AU - Lefkowitz, David M.
AU - Thorpe, Patricia E.
AU - McGregor, Patrick E.
AU - Agrawal, Devendra K.
AU - Samocha, Mary S.
PY - 1993/7
Y1 - 1993/7
N2 - Blunt trauma involving the innominate and carotid arteries is a rare occurrence that can be lethal or have serious neurologic sequelae. To our knowledge this is the first reported case in the international literature describing the association of posttraumatic innominate, artery aneurysm with total occlusion and thrombosis of the common carotid artery at its origin by an intimal flap. The diagnostic problems created by this unusual injury are discussed. In this case the patency of the distal portion of the common and internal carotid arteries was demonstrated by magnetic resonance angiography (MRA), whereas color duplex and digital arteriographic studies were unsuccessful. This demonstration was crucial to patient management. Since no studies are available comparing color duplex imaging, conventional arteriography, and MRA in the evaluation of blunt carotid trauma, this case study is presented to demonstrate the utility of MRA in emergency situations. In addition, we analyze the possible pathogenesis and discuss the surgical treatment.
AB - Blunt trauma involving the innominate and carotid arteries is a rare occurrence that can be lethal or have serious neurologic sequelae. To our knowledge this is the first reported case in the international literature describing the association of posttraumatic innominate, artery aneurysm with total occlusion and thrombosis of the common carotid artery at its origin by an intimal flap. The diagnostic problems created by this unusual injury are discussed. In this case the patency of the distal portion of the common and internal carotid arteries was demonstrated by magnetic resonance angiography (MRA), whereas color duplex and digital arteriographic studies were unsuccessful. This demonstration was crucial to patient management. Since no studies are available comparing color duplex imaging, conventional arteriography, and MRA in the evaluation of blunt carotid trauma, this case study is presented to demonstrate the utility of MRA in emergency situations. In addition, we analyze the possible pathogenesis and discuss the surgical treatment.
UR - http://www.scopus.com/inward/record.url?scp=0027209502&partnerID=8YFLogxK
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U2 - 10.1007/BF02002892
DO - 10.1007/BF02002892
M3 - Article
VL - 7
SP - 368
EP - 373
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
SN - 0890-5096
IS - 4
ER -