A Case Report of Partial Aortic Arch Replacement for Traumatic Aortic Arch Injury

Shinnosuke Goto＊	Masanao Nakai＊	Shinji Kawaguchi＊
Yuta Miyano＊	Muneaki Yamada＊	Yasuhiko Terai＊
Ryota Nomura＊	Hiroshi Mitsuoka＊	Fumio Yamasaki＊

（Department of Cardiovascular Surgery, Shizuoka City Shizuoka Hospital＊, Shizuoka, Japan）

A 79-year-old woman presented to our hospital with high energy trauma. Enhanced CT revealed injury to the aortic arch. The left carotid artery was pulled out due to extension force and a drawing out lesion formed. Cardiopulmonary bypass was established with cannulation of the right femoral artery and the right atrium, and systemic cooling was started. We opened the aortic arch with deep hypothermic circulatory arrest, and detected a 10mm drawing out lesion at the bottom of the left carotid artery. Aortic arch was transected at the distal of the left carotid artery to exclude the drawing out lesion, and partial arch replacement was performed. The patient’s postoperative course was uneventful, and she was discharged from our hospital without any complication.

 

Jpn. J. Cardiovasc. Surg. 50:53-56（2021）

Keywords：aortic arch;partial aortic arch replacement, trauma