Question
In a hemodynamically unstable patient with an Vacular injury in the body part shown in the middle of the image,what would be the best surgical approach(from the options shown in the lateral sides of the image)?
A. Surgical Approach 4
B. Surgical Approach 2
C. Surgical Approach 3
D. Surgical Approach 5
Show Answer
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Correct Answer » A
Explanation
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Ans:A. Surgical Approach 4.
Thoracic Vacular trauma
- Traumatic injuries to the thoracic vasculature – the aorta and its brachiocephalic branches, the pulmonary arteries and veins, the superior vena cava and intrathoracic inferior vena cava, and the innominate and thoracic veins – occurs following both blunt and penetrating trauma.
- The primary cause of mortality remains acute exsanguinating hemorrhage.
- Incisional choices to approach the thoracic great vessels. (1) Median sternotomy; (2) Right cervical extension; (3) Median sternotomy with left cervical extension; (4) Ipsilateral anterolateral thoracotomy; (5) Ipsilateral posterolateral thoracotomy .
- In an unidentified vessel in hemodynamically unstable patient ,the classic left anterolateral thoracotomy is performed with appropriate extensions as needed for adequate vascular control.
