In a case of Trauma of the part of the body(shown in the middle part of the image),the surgical approach (from the options shown in the right and left side of the image) would be :
A. Surgical approach shown by 1(in the image)
B. Surgical approach shown by 5(in the image)
C. Surgical approach shown by 3(in the image)
D. Surgical approach shown by 4 (in the image)
Ans:D. Surgical approach shown by 4 (in the image).
Incisional choices to approach the thoracic great vessels.
- Median sternotomy;
- Right cervical extension;
- Median sternotomy with left cervical extension;
- Ipsilateral anterolateral thoracotomy;
- Ipsilateral posterolateral thoracotomy.
In the unstable patient, the classic left anterolateral thoracotomy is performed with
appropriate extensions as needed for adequate vascular control.