Document Detail

Protection of high-riding aberrant innominate artery during open tracheotomy.
MedLine Citation:
PMID:  20398439     Owner:  NLM     Status:  In-Process    
PURPOSE: Variations of the normal anatomy of the aortic great vessels can lead to severe complications if not recognised pre- or peri-operatively. One such anomaly is a high-riding aberrant innominate artery.
STUDY DESIGN: Retrospective review of case series.
MATERIALS AND METHODS: We present our experience with seven patients in whom a high aberrant innominate artery was encountered just before or during open tracheotomy. We describe a procedure designed to protect the artery from erosion due to the tracheotomy tube, using an inferiorly based, U-shaped flap from the anterior tracheal wall averted over the innominate artery.
RESULTS: None of the patients had any bleeding from the tracheotomy site, during a follow-up period of nine to 46 months.
CONCLUSION: The technique described is simple to perform and prevents any damage to a high aberrant innominate artery, as assessed over a long follow-up period.
A Netzer; D Ostrovsky; R Bar; S T Westerman; A Golz
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Publication Detail:
Type:  Journal Article     Date:  2010-04-19
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  124     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  892-5     Citation Subset:  AIM; IM    
Department of Otolaryngology-Head and Neck Surgery, Rambam Health Care Campus, The Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel.
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