Blunt innominate artery trauma requiring repair and carotid ligation

Abstract

Traumatic dissection of the innominate artery is a rare clinical entity. Management of a patient with motorsensory compromise and dissection extending to the subclavian and right common carotid arteries is quite rare and can be quite involved. Here we present such a case and discuss the unique peri-operative decision-making in the context of what is reported in the literature. Restoration of motorsensory function is critical and in this case, requiring a multi-disciplinary team.

Keywords

• Innominate artery
• Dissection
• Limb ischemia
• Multi-disciplinary
• Forearm compartment release