1/105. Access to the traumatized vertebral artery: an unusual approach.Although injuries to the vertebral arteries are relatively uncommon, there are several different methods used to gain access to these vessels, and to control any bleeding arising from them. We describe a case of torrential oropharyngeal bleeding following a stab wound to the neck in which rapid access to the vertebral artery was gained using a paramedian mandibulotomy; this approach has not previously been documented. The other approaches are discussed.- - - - - - - - - - ranking = 1keywords = artery (Clic here for more details about this article) |
2/105. Unilateral exophthalmos caused by traumatic vertebral artery to vertebral and jugular vein fistula: problems in diagnosis and management.skull base venous fistulas are rare. A 15-year-old boy was stabbed in the left side of his neck, just below the mastoid process. Two years later, he presented with a protruded and pulsating left eye with red sclera. A soft murmur was audible all over his head and neck. angiography revealed an arteriovenous fistula between the third portion of the vertebral artery (V3) and the vertebral venous plexus, as well as the ipsilateral jugular vein (VVJF). The fistula recruited several arterial feeders and rising the venous pressure along the outflow system of the skull base had led to unilateral exophthalmos.- - - - - - - - - - ranking = 1keywords = artery (Clic here for more details about this article) |
3/105. Traumatic intracranial aneurysms following penetrating stab wounds to the head: two unusual cases and review of the literature.Two patients with rare complications of traumatic intracranial aneurysms following penetrating cranial stab wounds are described. One patient had a good outcome despite a secondary rupture of a traumatic proximal middle cerebral artery aneurysm, while the second patient had a traumatic basilar bifurcation artery aneurysm. To our knowledge neither the survival from a secondary rupture of a traumatic intracranial aneurysm, nor the development of a basilar bifurcation aneurysm secondary to a transcranial stab wound has been described previously. Furthermore, this is the first report of the technique of deep hypothermic cardiac arrest utilized to treat a traumatic false aneurysm. Traumatic intracranial aneurysms are a rare clinical entity, most often diagnosed after rupture and often resulting in fatal haemorrhage. A high index of suspicion needs to be maintained when managing patients with transcranial stab wounds. Early surgical intervention improves outcome by preventing initial aneurysmal rupture or rebleeding.- - - - - - - - - - ranking = 0.4keywords = artery (Clic here for more details about this article) |
4/105. Traumatic arteriovenous fistulas. A follow-up study.Over the period 1958 to 1972 14 patients with traumatic arteriovenous fistulas were treated. The mean period from trauma to surgical closure of the fistula was 13.3 years. No form of reconstructive vascular surgery had been performed initially. The dominating symptom of arteriovenous fistula was a pulsating tumor with a marked thrill. Excision of the fistula and reconstruction of the artery and vein was performed in 11 patients. In 3 patients the fistula was first ligated resulting in early recurrence of the shunt. At follow-up 3-15 years postoperatively all fistulas were closed, but 5 patients had moderate symptoms.- - - - - - - - - - ranking = 0.2keywords = artery (Clic here for more details about this article) |
5/105. Traumatic coronary-pulmonary artery fistula, 23 years after a stab wound.We describe a 50-year-old man with onset of severe hemoptysis and anemia. Twenty-three years earlier, he had undergone a surgical procedure for a left thoracic wound as a result of a knife injury. Current diagnosis of aneurysm of the left ventricle and coronary-pulmonary artery fistula was made after coronary arteriography. The patient underwent resection of the aneurysm and repair of the fistula.- - - - - - - - - - ranking = 1keywords = artery (Clic here for more details about this article) |
6/105. The management of stab wounds to the heart with laceration of the left anterior descending coronary artery.Penetrating cardiac injuries are an increasing cause of traumatic deaths in urban areas. The management of these injuries has undergone a transition from simple pericardiocentesis to cardiac ultrasound evaluation in the stable patient, and emergency thoracotomy and repair of myocardial wounds in the unstable patient in extremes. The incidence of traumatic coronary artery injury is not accurately known because not all victims are examined. With the improvement in emergency medical services, including speed of transportation of these patients, better resuscitation, and knowledgeable use of cardiac ultrasound or emergency room thoracotomy, more patients with coronary artery injuries will survive and reach the operating room. The operative management of the injured coronary artery is dependant on the location of the injury and whether there is myocardial dysfunction. Distal injuries with small myocardial infarction should be treated by ligation alone. Proximal injury and those injuries associate with larger area of ischaemia or infarction are best treated with coronary artery bypass. The role of cardiopulmonary bypass pump in these patients should be evaluated depending on the homodynamic stability of the patient. We present two cases of cardiac stab wounds with transection of the left anterior descending (LAD), which were successfully managed. A literature review regarding the management of combined cardiac and coronary artery injuries is also provided.- - - - - - - - - - ranking = 1.8keywords = artery (Clic here for more details about this article) |
7/105. Major mediastinal injury from crossbow bolt.We treated a 26-year-old male who sustained a self-inflicted injury to the mediastinum with a crossbow bolt. Injuries involved penetration of the sternum 1 cm below the sternomanubrial joint, right lung, pericardium, ascending aorta, right pulmonary artery, esophagus, and azygos vein. He was treated successfully with cardiopulmonary bypass and hypothermia. Exposure was achieved with a combination of a sternotomy and right thoracotomy.- - - - - - - - - - ranking = 0.2keywords = artery (Clic here for more details about this article) |
8/105. Internal carotid artery pseudoaneurysm masquerading as a peritonsillar abscess.Blunt carotid arterial injuries are uncommon. Motor vehicle crashes are the most frequent cause, but this type of vascular injury can be secondary to any direct blow to the neck, intraoral trauma, or strangulation. Types of vascular injuries include dissection, pseudoaneurysm, thrombosis, rupture, and arteriovenous fistula formation. patients with pseudoaneurysm of the internal carotid artery will usually present with neurologic complaints, ranging from the minor to complete stroke. On physical examination, neck hematoma, bruits, pulsatile neck mass, or a palpable thrill may be found. However, in 50% of cases, no external signs of neck trauma are observed. Onset of symptoms may occur within a few hours to several months after the initial injury. angiography is considered the gold standard for diagnosis, but carotid Doppler ultrasound recently has been shown to be very sensitive in detecting these types of injuries. Treatment of pseudoaneurysm is often surgical, with endovascular stenting.- - - - - - - - - - ranking = 6.9651620155479keywords = carotid artery, carotid, artery (Clic here for more details about this article) |
9/105. Delayed cardiac tamponade after coronary artery laceration.Delayed cardiac tamponade after laceration of a coronary artery is unusual and uncommonly reported in the literature. We describe a patient in whom this potentially fatal complication developed 8 days after a stab wound to his chest. In our review of the English language literature we identified only one other report of delayed tamponade after coronary artery laceration.- - - - - - - - - - ranking = 1.2keywords = artery (Clic here for more details about this article) |
10/105. Matchet cut injury at the wrist as a cause of traumatic radial artery aneurysm: a case report.A sixty year old Yoruba farmer presented at Ela Memorial Medical Centre, Ilorin with recurrent spontaneous bleeding from traumatic left radial artery aneurysm. This was due to a clash between a Fulani cattle rearer and the Yoruba farmer. This sort of situation is rampant across nigeria. It has led to unnecessary death and bodily damage in several cases. The sixty year old man was cut on the left wrist with a matchet. This was poorly treated and this resulted into a saccular radial aneurysm which was complicated with recurrent bleeding. Careless treatment of vascular damage could result into aneurysm formation. Medical personnel treating injuries should be aware of vascular injuries and refer the patient promptly for appropriate management. Communal disputes should be settled quickly before they lead to communital clashes which could lead to vascular injuries for which surgeons who could cope with such injuries are far-in-between in nigeria.- - - - - - - - - - ranking = 1keywords = artery (Clic here for more details about this article) |
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