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Protection of high-riding aberrant innominate artery during open tracheotomy

Published online by Cambridge University Press:  19 April 2010

A Netzer ,
D Ostrovsky ,
R Bar ,
S T Westerman  and
A Golz
A Netzer
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Rambam Health Care Campus, The Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel
D Ostrovsky
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Rambam Health Care Campus, The Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel
R Bar
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Rambam Health Care Campus, The Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel
S T Westerman
Affiliation:
Drexel University College of Medicine, Philadelphia, Pennsylvania, USA
A Golz*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Rambam Health Care Campus, The Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel
*
Address for correspondence: Dr Avishay Golz, Department of Otolaryngology-Head and Neck Surgery, Rambam Health Care Campus, PO 9602, Haifa 31096, Israel. Fax: +972 4 8543292 E-mail: golz@netvision.net.il
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Abstract

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.

Keywords

TracheotomyInnominate Artery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 8 , August 2010 , pp. 892 - 895
Copyright
Copyright © JLO (1984) Limited 2010

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