caa a22 4500 397495595 CHVBK 20180308164520.0 cr unu---uuuuu 161202e199502 xx s 000 0 eng 10.1016/S1010-7940(05)80025-9 doi (NATIONALLICENCE)oxford-10.1016/S1010-7940(05)80025-9 Surgical management of penetrating mediastinal arterial trauma [Elektronische Daten] Fifty-two patients with penetrating injury to the arteries caudal to thethoracic inlet and cephalad to the heart came under the care of the DurbanMetropolitan Vascular Service, South Africa, over a 13-year period. Theinnominate artery was the commonest vessel injured (n = 23). Five patients(11%) had multiple vessel injuries, four of which involved the aortic arch,and 18 (34%) had arteriovenous fistulae. Mortality was greatest withinjuries involving the aortic arch (n = 17) and ascending aorta (n = 4) inwhich intra-operative exsanguination was the leading cause of death (fivepatients). Injuries involving the inferior and posterior walls of theaortic arch and those located between the innominate and left commoncarotid origins were the most difficult to control. Seven patients withaortic injuries presented with cardiac tamponade, three of whom hadassociated injuries involving the atria. Seven of 21 (33%) patients withaortic injuries died compared to 2 of 31 (6%) with aortic arch branchinjury (p ≪ 0.05, chi- square) for an overall mortality of 17%. © Springer-Verlag 1995 European Journal of Cardio-Thoracic Surgery Elsevier Science B.V. 9/2(1995-02), 90-94 1010-7940 9:2<90 1995 9 ejcts https://doi.org/10.1016/S1010-7940(05)80025-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1016/S1010-7940(05)80025-9 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- European Journal of Cardio-Thoracic Surgery Elsevier Science B.V 9/2(1995-02), 90-94 1010-7940 9:2<90 1995 9 ejcts Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford