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The Intimal Flap
R. Ronald Hare, MD;
Max R. Gaspar, MD
AMA Arch Surg. 1971;102(6):552-555.
Abstract
The intimal flap may occur in any artery after severe blunt trauma with or without fracture of bone and occasionally in high-velocity gunshot wounds. It should be suspected in any patient with a history of blunt trauma who has signs of arterial insufficiency. On arteriography, it is recognized by a bandlike shadow in the column of dye and diminution in the density of dye distal to the band, although complete occlusion may be seen also. The lesion requires prompt surgical correction by either resection of the artery or intimectomy with or without a vein patch. The 49 cases reported in the literature have been summarized, and we have added reports of nine new cases.
Author Affiliations
Los Angeles
From the Department of Surgery, University of Southern California School of Medicine, and Los Angeles County-University of Southern California Medical Center, Los Angeles.
Footnotes
Accepted for publication Feb 5, 1971.
Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Palm Springs, Calif, Jan 15, 1971.
Reprint requests to 1127 Wilshire Blvd, Los Angeles 90017 (Dr. Hare).
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