TAILIEUCHUNG - Báo cáo y học: " Right-sided "trapdoor" incision provides necessary exposure of complex cervicothoracic vascular injury: a case repor"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Right-sided "trapdoor" incision provides necessary exposure of complex cervicothoracic vascular injury: a case repor | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Open Access Case report Right-sided trapdoor incision provides necessary exposure of complex cervicothoracic vascular injury a case report Boris Kessel 1 Itamar Ashkenazi2 Isaak Portnoy3 Dan Hebron4 Dani Eilam2 and Ricardo Alfici2 Address Trauma Unit Hillel Yaffe Medical Center Hadera Israel 2Surgery B Department Hillel Yaffe Medical Center Hadera Israel 3Vascular Surgery Department Hillel Yaffe Medical Center Hadera Israel and 4Interventional Radiology Unit Hillel Yaffe Medical Center Hadera Israel Email Boris Kessel - blko2@ Itamar Ashkenazi - i_ashkenazi@ Isaak Portnoy-portnoyi@ Dan Hebron - trauma@ Dani Eilam - trauma@ Ricardo Alfici - trauma@ Corresponding author Published 24 September 2009 Received 4 July 2009 _ -r-T__ nJ rI Accepted 24 September 2009 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2009 17 46 doi 1757-7241-17-46 This article is available from http content 17 1Z46 2009 Kessel et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Combined cervicothoracical vascular traumas are very uncommon mostly resulting from penetrating injuries. These injuries are accompanied with very high morbidity and mortality rates. In this manuscript we present a case of hemodinamycally unstable trauma patient whose major injury was penetrating trauma of both cervical and mediastinal major vessels. The standard surgical approach of median sternotomy and neck incision was insufficient and the patient s instability forced the authors to improvise previously not described right-sided .

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