@article{ref1,
title="Fragmentation injury to the innominate artery in a three-year-old child",
journal="Annals of thoracic surgery",
year="2014",
author="Greene, Julia M. and Cannon, Jeremy W. and Clouse, W. Darrin and Pratt, Jerry W.",
volume="97",
number="5",
pages="1788-1790",
abstract="The management of vascular trauma in pediatric patients presents numerous challenges, especially in an austere environment. We present the case of a 3-year-old girl who sustained multiple fragmentation injuries to the right chest and right upper extremity as a result of combat activity in Iraq. This resulted in an occult pseudoaneurysm of the innominate artery identified during exploration of her right chest for a persistent air leak from the right side of the chest. Computed tomography angiography delineated the injury, which was surgically repaired. This report demonstrates the type of challenging cases encountered in a combat zone and illustrates the need for a national database of such injuries in pediatric patients to better inform surgical decision making.<p /> <p>Language: en</p>",
language="en",
issn="0003-4975",
doi="10.1016/j.athoracsur.2013.07.115",
url="http://dx.doi.org/10.1016/j.athoracsur.2013.07.115"
}