<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2954-3835</journal-id>
<journal-title><![CDATA[Cardiovascular and metabolic science]]></journal-title>
<abbrev-journal-title><![CDATA[Cardiovasc. metab. sci]]></abbrev-journal-title>
<issn>2954-3835</issn>
<publisher>
<publisher-name><![CDATA[Asociación Nacional de Cardiólogos de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2954-38352023000200059</article-id>
<article-id pub-id-type="doi">10.35366/111548</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Trap-door thoracotomy as an ideal access route for internal cardiac massage and repair of subclavian vessels]]></article-title>
<article-title xml:lang="es"><![CDATA[Toracotomía Trap-door como vía de acceso ideal para masaje cardiaco interno y reparación de vasos subclavios]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés-Dupeyrón]]></surname>
<given-names><![CDATA[Osvaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvia-del Castillo]]></surname>
<given-names><![CDATA[Gino K]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinales-Casanova]]></surname>
<given-names><![CDATA[Lidia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonzáles-Robles]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Marcos]]></surname>
<given-names><![CDATA[Lisette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lois-Mendoza]]></surname>
<given-names><![CDATA[Natacha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional «Dr. Verdi Cevallos Balda»  ]]></institution>
<addr-line><![CDATA[Manabí ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional «Dr. Verdi Cevallos Balda»  ]]></institution>
<addr-line><![CDATA[Manabí ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Técnica de Manabí Departamento de Especialidades Sanitarias ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital de Especialidades de Portoviejo Departamento de Medicina Interna ]]></institution>
<addr-line><![CDATA[Manabí ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>34</volume>
<numero>2</numero>
<fpage>59</fpage>
<lpage>65</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2954-38352023000200059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2954-38352023000200059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2954-38352023000200059&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  subclavian vessel injuries remain rare and highly lethal. Patients with these types of injuries can present with neck and upper chest hematoma, hemorrhage, and signs of upper limb ischemia. Trap-door thoracotomy allows wide exposure of the thoracic cavity and base of the neck, providing rapid access to the heart, subclavian vessels, pulmonary ileus, and other anterior mediastinal structures.  Objective:  to describe the trap-door thoracotomy as the ideal approach for internal cardiac massage and subclavian vascular repair in hemodynamically unstable patients. Cases presentation: two patients with severe subclavian artery injuries are presented. They underwent emergency surgery using a trap-door thoracotomy, where bypass was performed from the ascending aorta to the left axillary artery with a polytetrafluoroethylene prosthesis in the first case and bypass from the left carotid artery to the left subclavian artery with an inverted saphenous vein in the second patient.  Conclusion:  the trap-door thoracotomy allows optimal access to the subclavian vessels and the heart if cardiopulmonary resuscitation is needed in critically ill patients.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el traumatismo de vasos subclavios no es frecuente. Pueden presentarse en forma de hemorragia, hematoma en cuello y tórax superior, signos de hipoperfusión distal y choque. La toracotomía Trap-door permite una exposición amplia de la cavidad torácica y base del cuello que proporciona un acceso rápido a corazón, vasos subclavios, íleo pulmonar y demás estructura del mediastino anterior.  Objetivo:  describir la toracotomía de Trap-door como vía de acceso ideal para masaje cardiaco interno y reparación de vasos subclavios en pacientes graves.  Presentación de casos:  se presentan dos pacientes con lesiones severas de arterias subclavias que fueron intervenidos de forma emergente mediante toracotomía Trap-door, donde se realizó derivación de aorta ascendente a arteria axilar izquierdas con prótesis de politetrafluoroetileno en el primer caso y derivación de arteria carótida izquierda a arteria subclavia izquierdas con vena safena invertida en el segundo paciente.  Conclusión:  la toracotomía Trap-door permite el acceso óptimo de vasos subclavios y corazón en caso de necesitar realizar reanimación cardiopulmonar en pacientes graves.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[subclavian artery lesions]]></kwd>
<kwd lng="en"><![CDATA[Trap-door thoracotomy]]></kwd>
<kwd lng="en"><![CDATA[subclavian artery revascularization]]></kwd>
<kwd lng="en"><![CDATA[internal cardiac massage]]></kwd>
<kwd lng="es"><![CDATA[lesiones de arteria subclavia]]></kwd>
<kwd lng="es"><![CDATA[toracotomía Trap-door]]></kwd>
<kwd lng="es"><![CDATA[revascularización de arteria subclavia]]></kwd>
<kwd lng="es"><![CDATA[masaje cardiaco interno]]></kwd>
</kwd-group>
</article-meta>
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