Abstract:
The patient is a 56-year-old man. He fell while playing golf and sustained a contusion on his right chest. He fell into hemorrhagic shock during surgery for a right clavicle fracture at a nearby hospital and required cardiac resuscitation. Computed tomography( CT) scan revealed left pneumothorax and right hemothorax, and a contrast-enhanced CT scan revealed a pseudoaneurysm at the brachiocephalic artery origin. He underwent surgery three weeks later. Surgery was performed through a median sternotomy and partial arch replacement (zone 2) with antegrade cerebral perfusion under moderate hypothermia. He was discharged on postoperative day 10 without significant complications.
摘要:
病人是一名56岁的男子。他在打高尔夫球时摔倒,右胸部挫伤。他在附近医院的右锁骨骨折手术中陷入失血性休克,需要进行心脏复苏。计算机断层扫描(CT)显示左侧气胸和右侧血胸,对比增强CT扫描显示头臂动脉起源有假性动脉瘤。三周后他接受了手术。在中度低温下,通过正中胸骨切开术和部分弓置换(2区)进行顺行脑灌注。术后第10天出院,无明显并发症。