Total Mediastinal Traverse with Isolated Internal Mammary Artery Transection

Khoynezhad, Ali; Barrett, Leonard O.; Hayn, Ernesto; Shaftan, Gerald W.

doi:10.1111/j.0886-0440.2004.04026.x

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Seven patients underwent surgery after angiography. Three were for AVF (3,6,19), two for shock (17,22), one for combined subclavian and vertebral artery injury (27), and one for diagnosis only (37).…”

Section: Discussionmentioning

confidence: 99%

Traumatic Internal Mammary Injury— A Literature Review and Guide for Management

Wu¹,

Liao²,

Liao³

et al. 2020

Preprint

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BackgroundTraumatic internal mammary artery (IMA) injury is a rare but clinically significant injury since it is linked to various troublesome conditions. In this review, we aim to provide a complete description and a practical strategy for managing this injury.MethodsPubMed, Embase, and the Web of Science were searched from 1960 to 2019. We also reviewed IMA injuries in our hospital. Only traumatic IMA injuries were included. The demographics, diagnostic procedures, treatments and outcomes were recorded and analyzed.ResultsThere were a total of 72 IMA injury cases, including 4 in our hospital. The injuries were predominantly in males (79.2%), were on the left side (66.7%), were considered blunt injuries (63.9%), and featured mediastinal hematoma (62.5%). Computed tomography (CT) has been used to diagnose IMA injuries in recent years. Most patients could be managed by nonsurgical treatments (61.2%). The outcome for IMA injury is very good, with low morbidity and mortality rates.ConclusionsIdentifying traumatic IMA injuries requires alertness from the physicians. An appropriate management chosen according to the patient’s individualized condition could lead to a satisfying result.Trial registration: not applicable

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Section: Discussionmentioning

confidence: 99%

Traumatic Internal Mammary Injury— A Literature Review and Guide for Management

Wu¹,

Liao²,

Liao³

et al. 2020

Preprint

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“…It can be a result of penetrating or blunt trauma, both of rare in occurrence but still with serious consequences [8, 9]. Others have described internal mammary injury that had occurred from central line insertion [10].…”

Section: Discussionmentioning

confidence: 99%

Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the Literature

Hassani

Rahman

Kanbar

et al. 2012

Case Reports in Surgery

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Background. Penetrating injuries to the chest and in particular to the heart that results in pericardial tamponade and cardiac arrest requires immediate resuscitative thoracotomy as the only lifesaving technique and should be performed without delay. Objective. To describe an external cardiac tamponade caused by massive tension hemothorax from penetrating injury of the left internal mammary artery (LIMA). Method. A case presentation treated at the Level I trauma center at Hamad General Hospital, in Doha, Qatar and review of the literature on LIMA injuries reported cases. Results. LIMA injury as a cause of hemothorax is not uncommon, but to our knowledge our case is the first massive tension hemothorax with witnessed cardiac arrest reported in the literature requiring emergency thoracotomy, performed in trauma room, with full recovery. Conclusion. Injury to the LIMA with massive tension hemothorax requires immediate resuscitative thoracotomy.

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“…A 55 year old chronic alcoholic, male presented to the San Fernando General Hospital of Trinidad and Tobago after sustaining multiple [1] stab wounds (SW) to the chest &upper abdomen [2]. He was in hypovoluemic shock with a blood pressure of 70/30 mm Hg and pulse rate of 140 beats per minute.…”

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confidence: 99%