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CC BY 4.0 · Aorta (Stamford) 2022; 10(01): 032-034
DOI: 10.1055/s-0041-1739486
Case Report

Blunt Traumatic Innominate Artery Pseudoaneurysm Endografting without Heparin Due to Severe Brain Injury

Derek P. Nieber
1   Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York
,
C. Taylor Lewis
2   Department of Surgery, Weill Cornell Medicine, Flushing, New York
,
Rajeev Dayal
2   Department of Surgery, Weill Cornell Medicine, Flushing, New York
,
Konstantin Khariton
2   Department of Surgery, Weill Cornell Medicine, Flushing, New York
,
Samuel J. Lang
1   Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York
,
Charles A. Mack 
1   Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York
› Author Affiliations Funding None.
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Abstract

Blunt traumatic innominate artery injuries occur in polytrauma victims who have suffered high-speed motor vehicle collisions. Their associated injuries may preclude the use of heparin and affect surgical management and perioperative neurological risk. The uniqueness of this case is combining the arterial injury repair with a severe progressive neurological injury that prohibited standard perioperative antiplatelet or anticoagulent use.

Keywords

innominate artery pseudoaneurysm - blunt trauma - neurological injury


Publication History

Received: 28 November 2020

Accepted: 02 July 2021

Article published online:
31 May 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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