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Volume 128, Issue 4 , Pages 632-634 , October 2004

Innominate artery transection in the setting of a bovine arch

Mireille A. Moise, MD
- Department of Surgery, Division of Cardiothoracic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pa, USA
Vivian Hsu
- Department of Surgery, Division of Cardiothoracic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pa, USA
Benjamin Braslow, MD
- Department of Surgery, Division of Traumatology, Hospital of the University of Pennsylvania, Philadelphia, Pa, USA
Y.Joseph Woo, MD
- Department of Surgery, Division of Cardiothoracic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pa, USA
- Address for reprints: Y. Joseph Woo, MD, Department of Surgery, Division of Cardiothoracic Surgery, 6th Floor, Silverstein Building, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104, USA

Received 16 February 2004 ,Revised 8 March 2004 ,Accepted 18 March 2004.

A, Computed tomographic scan image demonstrating a mediastinal hematoma and 2 trunks arising from the aortic arch, thus confirming bovine anatomy. B, Arch aortogram demonstrating injury at the takeoff

A, Computed tomographic scan image demonstrating a mediastinal hematoma and 2 trunks arising from the aortic arch, thus confirming bovine anatomy. B, Arch aortogram demonstrating injury at the takeoff of the left common carotid artery from the innominate artery.
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A, Vascular injury and the bypass circuit, which includes a superior vena cava cannula and arteriovenous bridge. B, Completed interposition graft.

A, Vascular injury and the bypass circuit, which includes a superior vena cava cannula and arteriovenous bridge. B, Completed interposition graft.
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