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Case Reports in Surgery
Volume 2013 (2013), Article ID 413462, 4 pages
http://dx.doi.org/10.1155/2013/413462
Case Report

Penetrating Neck Injury to the Superior Thoracic Artery Managed by Video-Assisted Thoracoscopic Surgery

1Department of Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA
2Division of Cardiothoracic Surgery, Department of Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, L353, Portland, OR 97239, USA

Received 22 December 2012; Accepted 9 January 2013

Academic Editors: S. P. Saha and F. Turégano

Copyright © 2013 Victor W. Wong et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Penetrating trauma to the axillary artery and its branches is uncommon and associated with high morbidity and mortality. Open exploration is mandated in hemodynamically unstable patients, but surgical exposure can be difficult due to the concentration of vital structures and complex anatomy in this region. Computed tomographic angiography is a potential diagnostic modality in hemodynamically stable patients. In these patients, endovascular therapies may provide a feasible means of controlling hemorrhage while minimizing surgical complications. A high incidence of concomitant intrathoracic injury has resulted in an expanding role for video-assisted thoracoscopic surgery. In this paper, we present a case of penetrating injury to the superior thoracic artery that was not amenable to endovascular therapy and was ultimately managed with thoracoscopic surgery.