Prolene

Yes.

You divide the artery and oversew both stumps with running five zil Prolene.

The collateral flow to the right arm is usually sufficient.

And finally, you have to interpose a healthy strap muscle flap between the tracheal defect and the vascular stump so they never touch again.

So if the bleeding is actually coming from a hole in the heart itself, how are we repairing it on the fly?

You manage it based on the tissue thickness.

You use pledgeted 5-0 Prolene sutures.

If it's a thin-walled atrium, use a running stitch.

So you use a temporary bridge.

You perform the sling using a synthetic material like a silicone rod or a Prolene suture.

Got it.

This clears the visual access and saves the neck.