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Protection of high-riding aberrant innominate artery during open tracheotomy
Journal article   Peer reviewed

Protection of high-riding aberrant innominate artery during open tracheotomy

A. Netzer, D. Ostrovsky, R. Bar, S. T. Westerman and A. Golz
Journal of laryngology and otology, v 124(8), pp 892-895
01 Aug 2010
PMID: 20398439

Abstract

Life Sciences & Biomedicine Otorhinolaryngology Science & Technology
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.

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Otorhinolaryngology
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