Document Detail

Technique to avoid innominate artery ligation and perform an anterior mediastinal tracheostomy for residual trachea of less than 5 cm.
MedLine Citation:
PMID:  17954119     Owner:  NLM     Status:  MEDLINE    
A 47-year-old man was admitted with recurrent autolimited bleeding arising from a cervical tracheostoma made 2 years earlier during a total laryngectomy. Stomal recurrence of the past laryngeal cancer invading the neighboring innominate artery was diagnosed by angiographic computer tomography and bronchoscopic biopsies. The malignant tracheostoma-innominate fistula was approached through an extended transversal supraclavicular incision, bilateral hemiclaviculectomy, and manubriectomy. It was treated with an anterior mediastinal tracheostomy with omental major transposition, right latissimus dorsi myocutaneous flap for tissue coverage, and brachiocephalic artery rerouting with cadaveric homograft. The patient was discharged on postoperative day 14 after an uneventful postoperative course.
Abel Gómez-Caro; Josep Maria Gimferrer; Paolo Macchiarini
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  84     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-10-23     Completed Date:  2007-11-08     Revised Date:  2008-09-19    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1777-9     Citation Subset:  AIM; IM    
Department of General Thoracic Surgery, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
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MeSH Terms
Brachiocephalic Trunk / surgery*
Middle Aged
Surgical Flaps
Tracheostomy / methods*
Comment In:
Ann Thorac Surg. 2008 Sep;86(3):1058-9; author reply 1059   [PMID:  18721631 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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