Minimally invasive innominate artery transection for tracheomalacia using 3-dimensional multidetector-row computed tomographic angiography: report of a case

Journal of Pediatric Surgery
Tomomi HasegawaYutaka Okita

Abstract

We successfully performed transection of the innominate artery in a patient with a neuromuscular disorder through minimally invasive access after confirming the anatomical relationships of the vessel using 3-dimensional multidetector-row computed tomographic angiography. A 16-year-old girl with spinal muscular atrophy type 1 had been on long-term mechanical ventilation with a tracheostomy. She had scoliosis and tracheomalacia. Bronchoscopy showed a flattened and narrow lower trachea and an anterior pulsatile compression by the innominate artery. She underwent transection of the innominate artery to prevent tracheoinnominate artery fistula formation. Based on preoperative 3-dimensional multidetector-row computed tomographic angiography images, the innominate artery was transected through a small transverse curvilinear skin incision just below the suprasternal notch and an oblique partial manubriotomy from the suprasternal notch to the first left intercostal space.

References

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Citations

Sep 6, 2012·Pediatric Surgery International·Chieko HisamatsuEiji Nishijima
Feb 11, 2015·Interactive Cardiovascular and Thoracic Surgery·Tomomi HasegawaRyuma Iwaki
Feb 22, 2012·São Paulo Medical Journal = Revista Paulista De Medicina·Ramon Andrade de MelloAbílio José Vilas-Boas
Aug 31, 2020·Seminars in Respiratory and Critical Care Medicine·Himanshu DeshwalAtul C Mehta

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