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  1. Apr 2020
    1. Innominate artery injuries are repaired using the bypass exclusion technique,96 which avoids the need for cardiopulmonary bypass. Bypass grafting from the proximal aorta to the distal innominate with a prosthetic tube graft is performed before the postinjury hematoma is entered. The PTFE graft is anastomosed end-to-side from the proximal undamaged aorta and anastomosed end-to-end to the innominate artery (Fig. 7-56). The origin of the innominate is then oversewn at its base to exclude the pseudoaneurysm or other injury.

      bypass exclusion is useful for innominate art inj which include; before postinjury enterance of hematoma, bypass grafting the distal innominate with proximal aorta. end-to-side grafting with PTFE from proximal undamaged aorta and end-to-end to the innominate art. then oversewing the origin of innominate to exluding of psedoaneurism and...