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INJURIES OF BRANCHES OF THE AORTIC ARCH
Author(s) -
Fletcher J. P.,
Little J. M.
Publication year - 1988
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1988.tb01042.x
Subject(s) - medicine , blunt , aortic arch , surgery , head injury , incidence (geometry) , blunt trauma , brachial plexus , stroke (engine) , vehicle accident , aorta , mechanical engineering , physics , optics , engineering
Injuries to the carotid, subclavian, axillary and vertebral arteries have comprised 19.5% of vascular trauma seen at Westmead Hospital during the period 1979–86. The cause of injury was penetrating trauma in 38.5% of cases, and blunt trauma, due mainly to motor vehicle or motor bike accident, in 61.5% of cases. In most cases (77%) the vascular injury was apparent because of large and/or expanding haematoma or overt haemorrhage. There was a large incidence of associated injury with head injury in 46% and brachial plexus injury in 31%. The mortality was high (46%), with most patients dying from the associated head injury, but one patient died from stroke after presenting with a neurological deficit associated with a carotid injury.