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Vascular and Endovascular Surgery
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Modified Trapdoor Exposure for Open Repair of Brachiocephalic Artery Branch Injury: Case Report

Michael L. Wall, MRCS

Department of Vascular Surgery, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK, michael.wall{at}uhb.nhs.uk

Robert S. M. Davies, MRCS

Department of Vascular Surgery, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK

Malcolm H. Simms, FRCS

Department of Vascular Surgery, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK

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.

Key Words: brachiocephalic • pseudoaneurysm • iatrogenic

This version was published on October 1, 2008

Vascular and Endovascular Surgery, Vol. 42, No. 5, 500-504 (2008)
DOI: 10.1177/1538574408320021
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