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First published on July 11, 2008
Vascular and Endovascular Surgery 2008, doi:10.1177/1538574408320021


Article

Modified Trapdoor Exposure for Open Repair of Brachiocephalic Artery Branch Injury: Case Report

Michael L. Wall, MRCS*, Robert S. M. Davies, MRCS, and Malcolm H. Simms, FRCS

From the Department of Speech Pathology & Audiology, University of Iowa, Iowa City, Iowa.

* To whom correspondence should be addressed. E-mail: michael.wall{at}uhb.nhs.uk.


   Abstract
Central venous catheterization is associated with a wide spectrum of vascular complications, including inadvertent arterial puncture. We describe 2 cases of successful open surgical repair of iatrogenic cervicothoracic arterial injuries secondary to central venous catheterization. In both patients, a novel transmanubrial approach was incorporated to expose and control the brachiocephalic artery.


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