scholarly journals Median Sternotomy for Innominate Artery Compression Syndrome and Distal Tracheal Stenosis

2021 ◽  
pp. 000313482199867
Author(s):  
Sandeep Sainathan ◽  
Mahesh Sharma
Keyword(s):  
Premature Infant ◽  
Tracheal Stenosis ◽  
Median Sternotomy ◽  
Innominate Artery ◽  
Initial Diagnosis ◽  
Tracheal Resection ◽  
Tracheal Cartilage ◽  
Compression Syndrome

We present a case of a premature infant who had an initial diagnosis of an innominate artery compression syndrome. This was approached by a median sternotomy for an aortopexy. However, the patient was found to have a distal tracheal stenosis due to a tracheal cartilage deficiency and was treated by a tracheal resection and primary anastamosis.

scholarly journals Partial upper median sternotomy for anterior aortopexy for innominate artery compression syndrome: Our preferred technique.

2021 ◽  
Author(s):  
Sandeep Sainathan ◽  
Raghav Murthy
Keyword(s):  
Median Sternotomy ◽  
Innominate Artery ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Tracheal Resection ◽  
Female Ratio ◽  
Compression Syndrome ◽  
The Us ◽  
University Teaching Hospitals ◽  
Male To Female

Objectives: Innominate artery compression syndrome (IAS) is caused by an anterior compression of the trachea by an abnormally originating innominate artery. One option to relieve such a compression is an anterior aortopexy (AA). In this paper we describe our technique of an AA via a partial upper median sternotomy. Methods: A retrospective review of a prospectively maintained database of patients with IAS (July 2017 to November 2020) treated with AA via a partial upper median sternotomy at University teaching hospitals in the US was done. Results: Nine consecutive patients underwent AA for IAS during the study period. The median age was 9 months (IQR 3- 16.5). The male to female ratio was 1.25. All patients had > 70% compression by flexible bronchoscopy. 2 patients had previous surgeries. The follow-up was a median of 6 (IQR 4- 8.5) months. The indications for the operation were: reflex apnea (4/9 patients), recurrent intubation (4/9 patients), and severe stridor (1/9). IAS was a technical success (defined as ≤ 20 % residual stenosis) in 78 % (7/9) of the patients. Complete symptom resolution after an AA was seen in 71% (5/7) of the patients. 2 patients had an unsuccessful AA, requiring a tracheal resection and an innominate artery reimplantation, respectively. Conclusion: An upper partial sternotomy approach provides a very versatile approach to an AA for IAS. Besides facilitating an adequate AA, it provides options for direct tracheal surgery or an innominate artery reimplantation in case an optimal result is not obtained by an AA.

scholarly journals Analysis of 40 patients who underwent tracheal resection due to benign complex tracheal stenosis

2021 ◽  
Author(s):  
Mehmet Furkan Sahin ◽  
Muhammet Ali Beyoglu ◽  
Alkin Yazicioglu ◽  
Erdal Yekeler
Keyword(s):  
Tracheal Stenosis ◽  
Tracheal Resection

TRACHEAL STENOSIS CAUSED BY TRACHEOPATHIA OSTEOPLASTICA: TREATMENT BY CERVICAL TRACHEAL RESECTION WITH RECONSTRUCTION

CHEST Journal ◽  
2008 ◽  
Vol 134 (4) ◽  
pp. 37C
Author(s):  
Chakravarthy B. Reddy ◽  
Sidhu Gangadharan ◽  
Gaetane Michaud ◽  
Adnan Majid ◽  
Armin Ernst
Keyword(s):  
Tracheal Stenosis ◽  
Tracheal Resection ◽  
Tracheopathia Osteoplastica

Anaesthetic management of acquired tracheal stenosis for tracheal resection and reconstruction

Airway ◽  
2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Sunil Rajan ◽  
Jacob Mathew ◽  
BeegamShoufi Kunjumon ◽  
Lakshmi Kumar
Keyword(s):  
Tracheal Stenosis ◽  
Anaesthetic Management ◽  
Tracheal Resection

Innominate Artery Compression Syndrome in Children

1971 ◽  
Vol 80 (4) ◽  
pp. 535-540 ◽  
Author(s):  
Robert E. MacDonald ◽  
Blair Fearon
Keyword(s):  
Innominate Artery ◽  
Compression Syndrome

scholarly journals PENETRATING TRAUMA OF BRACHIOCEPHALIC ARTERY LESION WITH EMBOLIZATION OF FOREIGN BODY TO RIGHT AXILLARY ARTERY IN PEDIATRIC PATIENT: CASE PRESENTATION AND HIS MANAGEMENT.

2020 ◽  
Author(s):  
Luis Zerpa Acosta ◽  
Jameel Al Ata ◽  
Alfredo Sanchez Gamboa ◽  
Elmahi Babikir ◽  
Abdullah Al Zahrani ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Surgical Repair ◽  
Axillary Artery ◽  
Median Sternotomy ◽  
Penetrating Trauma ◽  
Innominate Artery ◽  
Penetrating Injuries ◽  
Patient Case ◽  
Case Presentation ◽  
Great Vessels

ABSTRACT: BACKGROUND: Penetrating injuries of the intrathoracic great vessels are well recognized although uncommon in pediatric patients, management in pediatric patients presents challenges. Surgical repair by median sternotomy is the exposure of choice for accessing innominate artery injuries, but endovascular intervention in being increasingly introduced in the hemodynamically stable

scholarly journals Reinforcement of an end-to-end Tracheal Resection Anastomosis with Fibrin Glue: A Case Report

2001 ◽  
Vol 80 (4) ◽  
pp. 234-238 ◽  
Author(s):  
Ashutosh Kacker ◽  
Jerry Huo
Keyword(s):  
Case Report ◽  
Fibrin Glue ◽  
Tracheal Stenosis ◽  
Fibrin Sealant ◽  
Primary Anastomosis ◽  
Tracheal Resection ◽  
Short Segment ◽  
Prolonged Intubation ◽  
Airtight Seal ◽  
Fatal Complications

Tracheal resection and primary anastomosis is the treatment of choice for a short-segment stenosis. However, the procedure does carry the risk of two potentially fatal complications: anastomosis breakdown and leak. We describe the case of a 67-year-old man who was treated for a 3-cm tracheal stenosis secondary to a prolonged intubation and multiple tracheostomies. The patient underwent a tracheal resection and primary anastomosis. The anastomosis was reinforced with fibrin sealant, which created an airtight seal. The patient was extubated postoperatively, and he healed without complication. Fibrin sealant is a convenient, safe, and effective material for reinforcing anastomotic suture lines.

scholarly journals Treatment of a case of tracheal stenosis in a dog with tracheal resection and anastomosis

2012 ◽  
Vol 48 (No. 11) ◽  
pp. 339-342 ◽  
Author(s):  
Z. Mutlu ◽  
Acar SE ◽  
C. Perk
Keyword(s):  
General Anesthesia ◽  
Clinical Examination ◽  
Tracheal Stenosis ◽  
Postoperative Period ◽  
Tracheal Resection ◽  
Late Period ◽  
Healthy Life ◽  
Breathing Difficulty ◽  
Cervical Portion ◽  
Resection And Anastomosis

A case of tracheal stenosis in the cervical portion of the trachea was encountered in a 5.5-month-old St. Bernard-Ro􀄴weiler cross dog. Breathing difficulty was seen in the clinical examination and presence of an obvious narrowing between the 3rd–5th cervical tracheal rings was determined in the radiological examination. Under general anesthesia the portion with stenosis was resected and the healthy trachea ends were anastomosed using the split cartilage technique. In the postoperative period the breathing difficulty disappeared and there was no development of a new stenosis in the anastomosis region. In the late period check-up the patient was seen to lead a healthy life.

scholarly journals Percutaneous or Side-Arm Graft Right Subclavian Artery Cannulation via Median Sternotomy

Aorta ◽  
2019 ◽  
Vol 07 (05) ◽  
pp. 150-153
Author(s):  
Corrado Cavozza ◽  
Antonio Campanella ◽  
Pellegrino Pasquale ◽  
Andrea Audo
Keyword(s):  
Cardiopulmonary Bypass ◽  
Subclavian Artery ◽  
Circulatory Arrest ◽  
Median Sternotomy ◽  
Innominate Artery ◽  
Bypass Flow ◽  
Surgical Incision ◽  
Artery Cannulation ◽  
The Right ◽  
Antegrade Cerebral Perfusion

AbstractSeveral cannulation sites alternative to the ascending aorta, such as femoral, right axillary, carotid, innominate artery, and, less commonly, apical sites, have been proposed. Cannulation of the right subclavian artery, through sternotomy, is one possible means of establishing cardiopulmonary bypass, hence avoiding a second surgical incision. In our experience, cardiopulmonary bypass flow was adequate and circulatory arrest with antegrade cerebral perfusion was successfully performed in all cases. There was no in-hospital mortality.

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