Contralateral pleural injury in patient with vertebral artery injury– An anaesthesiologist challenge

Dr. Kiranpreet Kaur; Dr. Garima Vashisht; Dr. Mamta Bhardwaj; Dr. Manisha Mittal; Dr. Prashant Kumar

Volume : VI, Issue : XII, December - 2017

Contralateral pleural injury in patient with vertebral artery injury– An anaesthesiologist challenge

Dr. Kiranpreet Kaur, Dr. Garima Vashisht, Dr. Mamta Bhardwaj, Dr. Manisha Mittal, Dr. Prashant Kumar

Abstract :

Verteal artery injuries are rare in stab wound with a reported incidence of 1– 7.4%, because of its protected anatomical location along the verteal column. Associated vascular injuries can be external jugular veins, internal jugular veins and verteal vein. Laryngeal, tracheal, oesophageal and cervical spinal injuries are other associated injuries, though incidence is rare. Haemothorax and pneumothorax also occur frequently in association with verteal artery injury. We herein report a case of intra–operative contralateral pleural injury following an isolated left verteal artery injury after 48 hours when patient reported for pack removal which was left in situ owing to active bleed of verteal artery due to stab wound in the neck.