{"id":4986,"date":"2023-02-18T11:18:37","date_gmt":"2023-02-18T11:18:37","guid":{"rendered":"https:\/\/www.karotidnahirurgija.com\/?page_id=4986"},"modified":"2023-02-24T10:25:44","modified_gmt":"2023-02-24T10:25:44","slug":"23-2-brahiocefalicni-trunkus-truncus-brachiocephalicus","status":"publish","type":"page","link":"https:\/\/www.karotidnahirurgija.com\/?page_id=4986","title":{"rendered":"23.2. BRAHIOCEFALI\u010cNI TRUNKUS (TRUNCUS BRACHIOCEPHALICUS)"},"content":{"rendered":"

\"\"<\/a><\/p>\n

<\/p>\n

HIRUR\u0160KI PRISTUPI SUPRAAORTALNIM STABLIMA<\/h1>\n

<\/a><\/h1>\n

<\/p>\n

23.2. BRAHIOCEFALI\u010cNI TRUNKUS (TRUNCUS BRACHIOCEPHALICUS)<\/h2>\n

<\/a><\/h1>\n<\/p>\n

\n

Najbolji pristup brahiocefali\u010dnom trunkusu nudi kombinacija<\/b> <\/b>medijalne<\/b> <\/b>sternotomij<\/b>e <\/b>s<\/b>a <\/b>cervikalno<\/b>m <\/b>incizijo<\/b>m<\/b> <\/b>du\u017e prednje ivice sternokleidomastoidnog mi\u0161i\u0107a.<\/p>\n

Incizija<\/span> <\/span>po<\/span> <\/span>tipu<\/span> <\/span>medijalne<\/b><\/span> <\/b><\/span>sternotomije<\/b><\/span>.<\/span> <\/span>Timus<\/span> <\/span>se<\/span> <\/span>preseca<\/span> <\/span>in<\/i><\/span> <\/i><\/span>toto<\/i><\/span>.<\/span> <\/span>Leva<\/span> <\/span>brahiocefali\u010dna<\/span> <\/span>vena<\/span> <\/span>se<\/span> <\/span>prepari\u0161e<\/span> <\/span>u<\/span> <\/span>dovoljno<\/span> <\/span>dugom <\/span>segmentu<\/span> <\/span>da<\/span> <\/span>bi<\/span> <\/span>se<\/span> <\/span>mogla<\/span> <\/span>zauzdati<\/span> <\/span>i<\/span> <\/span>pomerati<\/span> <\/span>kranijalno<\/span> <\/span>i<\/span> <\/span>kaudalno.<\/span> <\/span>Pri<\/span> <\/span>tome<\/span> <\/span>treba<\/span> <\/span>biti<\/span> <\/span>oprezan<\/span> <\/span>zbog<\/span> <\/span>mogu\u0107nosti<\/span> <\/span>abnormalnog<\/span> <\/span>pravca<\/span> <\/span>leve<\/span> <\/span>zajedni\u010dke<\/span> <\/span>karotidne<\/span> <\/span>arterije,<\/span> <\/span>koja<\/span> <\/span>mo\u017ee<\/span> <\/span>biti<\/span> <\/span>blizu<\/span><\/p>\n

Brahiocefali\u010dni<\/span> <\/span>trunkus<\/span><\/strong> <\/span>se<\/span> <\/span>osloba\u0111a<\/span> <\/span>od<\/span> <\/span>okolnog<\/span> <\/span>rastresitog<\/span> <\/span>vezivnog<\/span> <\/span>tkiva.<\/span> <\/span>Potom<\/span> <\/span>se<\/span> <\/span>njegova<\/span> <\/span>zadnja<\/span> <\/span>strana<\/span> <\/span>odvaja<\/span> <\/span>od<\/span> <\/span>trachea-<\/i><\/span>e<\/span> <\/span>i<\/span> <\/span>zauzdava.<\/span> <\/span>Ako<\/span> <\/span>je<\/span> <\/span>to<\/span> <\/span>potrebno<\/span> <\/span>nastavlja<\/span> se sa <\/span>cervikalnom<\/span> <\/span>incizijom<\/span> <\/span>du\u017e<\/span> <\/span>prednje<\/span> <\/span>ivice<\/span> <\/span>sternokleidomastoidnog<\/span> <\/span>mi\u0161i\u0107a.<\/span> <\/span><\/p>\n

Da<\/span> <\/span>bi<\/span> <\/span>se<\/span> <\/span>dobro<\/span> <\/span>eksponirala<\/span> <\/span>bifurkacija<\/span> <\/span>trunkusa<\/span> <\/span>obi\u010dno<\/span> <\/span>je<\/span> <\/span>potrebno<\/span> <\/span>da<\/span> <\/span>se<\/span> <\/span>sternokleidomastoidni<\/span> <\/span>mi\u0161i\u0107,<\/span> <\/span>kao<\/span> <\/span>i<\/span> <\/span>duboka<\/span> <\/span>muskulatura<\/span> <\/span>vrata<\/span> <\/span>odvoji<\/span> <\/span>od<\/span> <\/span>svog<\/span> <\/span>sternalnog<\/span> <\/span>pripoja.<\/span> <\/span>Desni<\/span> <\/span>n.vagus<\/span> <\/span>prelazi<\/span> <\/span>neposredno<\/span> <\/span>preko<\/span> <\/span>zavr\u0161nog<\/span> <\/span>grananja<\/span> <\/span>truncus<\/i><\/span> <\/i><\/span>brachiocephalicus<\/i><\/span>-a.<\/span> <\/span>Mora<\/span> <\/span>se<\/span> <\/span>o\u010duvati.<\/span><\/p>\n

Leva zajedni\u010dka karotidna arterija nastaje u 10-20% slu\u010dajeva iz brahiocefali\u010dnog<\/span> <\/span>stabla,<\/span> <\/span>a<\/span> <\/span>ne<\/span> <\/span>i<\/span> <\/span>aortnog<\/span> <\/span>luka.<\/span> <\/span>To<\/span> <\/span>se<\/span> <\/span>mora<\/span> <\/span>imati<\/span> <\/span>u<\/span> <\/span>vidu<\/span> <\/span>pri<\/span> <\/span>klemovanju<\/span> <\/span>brahiocefali\u010dnog<\/span> <\/span>trunkusa.<\/span> <\/span>Leva<\/span> <\/span>karotidna<\/span> <\/span>arterija<\/span> <\/span>ne<\/span> <\/span>sme<\/span> <\/span>biti<\/span> <\/span>istovremeno<\/span> <\/span>klemovana.<\/span><\/p>\n

Kod<\/span> <\/span>povreda,<\/span> <\/span>\u0161to<\/span> <\/span>je<\/span> <\/span>kriti\u010dnija<\/span> <\/span>hemodinamska<\/span> <\/span>situacija,<\/span> <\/span>\u0161to<\/span> <\/span>je<\/span> <\/span>ve\u0107i<\/span> <\/span>gubitak<\/span> <\/span>krvi,<\/span> <\/span>to<\/span> <\/span>je<\/span> <\/span>bolje<\/span> <\/span>raditi<\/span> <\/span>sa<\/span> <\/span>intraluminalnim<\/span> <\/span>shunt-om.<\/span><\/p>\n

<\/span><\/span><\/p>\n<\/div>\n


\n<\/p>\n","protected":false},"excerpt":{"rendered":"

HIRUR\u0160KI PRISTUPI SUPRAAORTALNIM STABLIMA 23.2. BRAHIOCEFALI\u010cNI TRUNKUS (TRUNCUS BRACHIOCEPHALICUS) Najbolji pristup brahiocefali\u010dnom trunkusu nudi kombinacija medijalne sternotomije sa cervikalnom incizijom du\u017e prednje ivice sternokleidomastoidnog mi\u0161i\u0107a. Incizija po tipu medijalne sternotomije. Timus se preseca in toto. Leva brahiocefali\u010dna vena se prepari\u0161e u dovoljno dugom segmentu da bi se mogla zauzdati i pomerati kranijalno i kaudalno. Pri […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4986","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\n23.2. BRAHIOCEFALI\u010cNI TRUNKUS (TRUNCUS BRACHIOCEPHALICUS) - KAROTIDNA HIRURGIJA<\/title>\n<meta name=\"description\" content=\"Najbolji pristup brahiocefali\u010dnom trunkusu nudi kombinacija medijalne sternotomije sa cervikalnom incizijom du\u017e prednje ivice sternokleidomastoidnog mi\u0161i\u0107a.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.karotidnahirurgija.com\/?page_id=4986\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"23.2. BRAHIOCEFALI\u010cNI TRUNKUS (TRUNCUS BRACHIOCEPHALICUS) - KAROTIDNA HIRURGIJA\" \/>\n<meta property=\"og:description\" content=\"Najbolji pristup brahiocefali\u010dnom trunkusu nudi kombinacija medijalne sternotomije sa cervikalnom incizijom du\u017e prednje ivice sternokleidomastoidnog mi\u0161i\u0107a.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.karotidnahirurgija.com\/?page_id=4986\" \/>\n<meta property=\"og:site_name\" content=\"KAROTIDNA HIRURGIJA\" \/>\n<meta property=\"article:modified_time\" content=\"2023-02-24T10:25:44+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/?page_id=4986\",\"url\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/?page_id=4986\",\"name\":\"23.2. BRAHIOCEFALI\u010cNI TRUNKUS (TRUNCUS BRACHIOCEPHALICUS) - KAROTIDNA HIRURGIJA\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/#website\"},\"datePublished\":\"2023-02-18T11:18:37+00:00\",\"dateModified\":\"2023-02-24T10:25:44+00:00\",\"description\":\"Najbolji pristup brahiocefali\u010dnom trunkusu nudi kombinacija medijalne sternotomije sa cervikalnom incizijom du\u017e prednje ivice sternokleidomastoidnog mi\u0161i\u0107a.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/?page_id=4986#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.karotidnahirurgija.com\\\/?page_id=4986\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/?page_id=4986#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"23.2. BRAHIOCEFALI\u010cNI TRUNKUS (TRUNCUS BRACHIOCEPHALICUS)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/#website\",\"url\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/\",\"name\":\"KAROTIDNA HIRURGIJA\",\"description\":\"Knjiga o karotidnoj hirurgiji - sve \u0161to je pouzdano i znano\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/#\\\/schema\\\/person\\\/84f97392d514f154c03f71f594debb3c\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/#\\\/schema\\\/person\\\/84f97392d514f154c03f71f594debb3c\",\"name\":\"karotida\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/LOGO-KH-tree1.png\",\"url\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/LOGO-KH-tree1.png\",\"contentUrl\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/LOGO-KH-tree1.png\",\"width\":500,\"height\":112,\"caption\":\"karotida\"},\"logo\":{\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/LOGO-KH-tree1.png\"},\"sameAs\":[\"https:\\\/\\\/www.karotidnahirurgija.com\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"23.2. BRAHIOCEFALI\u010cNI TRUNKUS (TRUNCUS BRACHIOCEPHALICUS) - KAROTIDNA HIRURGIJA","description":"Najbolji pristup brahiocefali\u010dnom trunkusu nudi kombinacija medijalne sternotomije sa cervikalnom incizijom du\u017e prednje ivice sternokleidomastoidnog mi\u0161i\u0107a.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.karotidnahirurgija.com\/?page_id=4986","og_locale":"en_US","og_type":"article","og_title":"23.2. BRAHIOCEFALI\u010cNI TRUNKUS (TRUNCUS BRACHIOCEPHALICUS) - KAROTIDNA HIRURGIJA","og_description":"Najbolji pristup brahiocefali\u010dnom trunkusu nudi kombinacija medijalne sternotomije sa cervikalnom incizijom du\u017e prednje ivice sternokleidomastoidnog mi\u0161i\u0107a.","og_url":"https:\/\/www.karotidnahirurgija.com\/?page_id=4986","og_site_name":"KAROTIDNA HIRURGIJA","article_modified_time":"2023-02-24T10:25:44+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.karotidnahirurgija.com\/?page_id=4986","url":"https:\/\/www.karotidnahirurgija.com\/?page_id=4986","name":"23.2. BRAHIOCEFALI\u010cNI TRUNKUS (TRUNCUS BRACHIOCEPHALICUS) - KAROTIDNA HIRURGIJA","isPartOf":{"@id":"https:\/\/www.karotidnahirurgija.com\/#website"},"datePublished":"2023-02-18T11:18:37+00:00","dateModified":"2023-02-24T10:25:44+00:00","description":"Najbolji pristup brahiocefali\u010dnom trunkusu nudi kombinacija medijalne sternotomije sa cervikalnom incizijom du\u017e prednje ivice sternokleidomastoidnog mi\u0161i\u0107a.","breadcrumb":{"@id":"https:\/\/www.karotidnahirurgija.com\/?page_id=4986#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.karotidnahirurgija.com\/?page_id=4986"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.karotidnahirurgija.com\/?page_id=4986#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.karotidnahirurgija.com\/"},{"@type":"ListItem","position":2,"name":"23.2. BRAHIOCEFALI\u010cNI TRUNKUS (TRUNCUS BRACHIOCEPHALICUS)"}]},{"@type":"WebSite","@id":"https:\/\/www.karotidnahirurgija.com\/#website","url":"https:\/\/www.karotidnahirurgija.com\/","name":"KAROTIDNA HIRURGIJA","description":"Knjiga o karotidnoj hirurgiji - sve \u0161to je pouzdano i znano","publisher":{"@id":"https:\/\/www.karotidnahirurgija.com\/#\/schema\/person\/84f97392d514f154c03f71f594debb3c"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.karotidnahirurgija.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/www.karotidnahirurgija.com\/#\/schema\/person\/84f97392d514f154c03f71f594debb3c","name":"karotida","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.karotidnahirurgija.com\/wp-content\/uploads\/2023\/02\/LOGO-KH-tree1.png","url":"https:\/\/www.karotidnahirurgija.com\/wp-content\/uploads\/2023\/02\/LOGO-KH-tree1.png","contentUrl":"https:\/\/www.karotidnahirurgija.com\/wp-content\/uploads\/2023\/02\/LOGO-KH-tree1.png","width":500,"height":112,"caption":"karotida"},"logo":{"@id":"https:\/\/www.karotidnahirurgija.com\/wp-content\/uploads\/2023\/02\/LOGO-KH-tree1.png"},"sameAs":["https:\/\/www.karotidnahirurgija.com"]}]}},"_links":{"self":[{"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=\/wp\/v2\/pages\/4986","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4986"}],"version-history":[{"count":9,"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=\/wp\/v2\/pages\/4986\/revisions"}],"predecessor-version":[{"id":6009,"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=\/wp\/v2\/pages\/4986\/revisions\/6009"}],"wp:attachment":[{"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4986"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}