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Results for “INNOMINATE ARTERY”

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At least 19 recordsLinked to original sources
PubMed1991

[A case report of anomalous origin of right pulmonary artery from innominate artery associated with left sided unilateral pulmonary hypertension].

A 7-year-old girl, who was diagnosed as anomalous origin of right pulmonary artery from innominate artery associated with left sided unilateral pulmonary hypertension due to left patent ductus arteriosus, was reported. The right pulmonary artery had a stenotic segment of it's origin containing ductal tissue. Operation was performed without the aid of cardiopulmonary bypass. The continuity between main and right pulmonary arteries was established by a pericardial roll graft. The postoperative course was uneventful and she is very well three years after correction. To our knowledge, this is a very rare case with such combination of congenital anomalies as anomalous origin of right pulmonary artery and left sided unilateral pulmonary hypertension to be reported in the literature in Japan.

Brachiocephalic Trunk↗
PubMedDate not supplied

Transvenous Fogarty balloon catheter occlusion of an iatrogenic innominate artery to innominate vein fistula.

Transvenous embolization therapy is reported in a patient who developed a fistula from the innominate artery to the innominate vein as a complication of permanent cardiac pacemaker insertion. A transarterial approach at occlusion was unfavorable due to previous difficult catheterizations, and the patient's poor clinical condition precluded alternative operative intervention. The fistula was successfully closed by transvenous placement of a Fogarty nondetachable balloon catheter after coil and detectable balloon placement attempts were unsuccessful.

Aged↗
PubMed2006

[Feasibility of helical CT in the diagnosis and management of tracheo-innominate artery fistula and tracheo-innominate artery allovascularity after tracheostomy in patients with severe neurological disorders].

Tracheo-innominate artery fistula (TIF) is one of the most important complications of tracheostomy in that it is often life threatening. We experienced two cases with TIF and tracheo-innominate artery allovascularity, in which three-dimensional helical CT (3DCT) was useful in making the diagnosis of TIF and tracheo-innominate artery allovascularity. In one case, acute hemorrhage occurred during the procedure of routine tube exchange, and hemostasis was achieved by inflating the cuff of the tracheostomy tube. After TIF was confirmed by 3DCT, surgical ligation of the innominate artery was performed. In the other case, the recognition of a pulsating movement of the tracheostomy tube prompted us to perform 3DCT, which demonstrated a collateral branch from the innominate artery to the trachea. Laryngotracheal separation was performed to prevent hemorrhagic events in the future. For patients with severe neurological disorders, 3DCT has the advantage that only a short time is required to produce a digital image demonstrating the structure surrounding the trachea, which is necessary for the management of the patients' airway.

Adolescent↗
PubMedDate not supplied

Anomalous origin of one pulmonary artery from the innominate artery: a report of two cases.

Two children with an anomalous origin of one pulmonary artery from the innominate artery are reported. One was a 15-month-old boy presenting with respiratory distress. He had a right aortic arch and his left pulmonary artery originated from the innominate artery. The other was a 1-month-old girl presenting with congestive heart failure. She had a left aortic arch and her right pulmonary artery originated from the innominate artery. An understanding of the embryological pathogenesis of these anomalies has significant therapeutic implications.

Brachiocephalic Trunk↗
PubMed2005

A case with tracheo-innominate artery fistula. Successful management of endovascular embolization of innominate artery.

Tracheo-innominate artery fistula (TIF) is known as a fatal complication after tracheostomy. We report a 9-year-old girl with early hypoxic encephalopathy who had a tracheo-innominate artery fistula with exsanguinating hemorrhage from her tracheostoma 10 months after tracheostomy. After temporary control of bleeding, embolization of the innominate artery was performed. The patient has remained well 1 year after the procedure. We reviewed the aetiology, diagnosis and management of the tracheo-innominate fistula, and findings suggest that endovascular embolization of the innominate artery may be an appropriate treatment for patients with tracheo-innominate artery fistula.

Brachiocephalic Trunk↗
PubMed1992

Innominate artery compression of the trachea. Treatment by reimplantation of the innominate artery.

The standard treatment of innominate artery compression of the trachea has been innominate artery suspension, but the syndrome can recur when this technique is used. From October 1985 until March 1991, 29 infants and children were treated for this syndrome by innominate artery reimplantation. In all patients severe anterior vascular compression of the trachea was demonstrated preoperatively by bronchoscopy and in 17 the diagnosis was confirmed by magnetic resonance imaging scanning. Indications for operation included apneic episodes in 17 (58.6%), severe stridor in seven (24.1%), recurrent bronchopulmonary infections in four (13.8%), and exercise-induced stridor in one (3.4%). Through a median sternotomy, the innominate artery was reimplanted more proximally on the ascending aorta and to the right of the trachea. In this new position, the innominate artery no longer crosses the trachea anteriorly, and the anatomic cause of tracheal obstruction is completely eliminated. There were no early or late deaths, and 27 of the 29 patients (93%) had complete resolution of symptoms. Partial resolution of symptoms was seen in two patients (7%). Reimplantation of the innominate artery offers a unique method by which the anatomic cause of tracheal compression is eliminated. It is a safe and effective means of treating symptomatic compression of the trachea by the innominate artery.

Adolescent↗
PubMed1994

Innominate artery compression of the trachea. A simplified technique for anterior suspension of the innominate artery.

OBJECTIVE: When innominate artery compression of the trachea causes airway obstruction in infancy, the standard treatment is anterior suspension of the innominate artery by anchoring it to the back of the sternum to relieve the pressure on the trachea, known as aortotruncopexy. We describe a simplified technique for anterior suspension of the innominate artery, by suturing the pretracheal fascia to the back of the manubrium. EXPERIMENTAL DESIGN: We have used this technique in three infants with follow-up to eighteen months. SETTING: University teaching hospital, regional paediatric and cardiac surgical centre. PATIENTS: Three infants presenting with intractable respiratory difficulties, principally caused by the innominate artery compression of the trachea. INTERVENTION: All patients underwent right thoracotomy. The innominate artery was lifted away from the trachea by creating a pretracheal fascial sling attached to the back of the manubrium. MEASURES: Clinical follow-up. RESULTS: All patients have shown improvement in symptoms and none has required further hospitalization. CONCLUSIONS: This technique appears to give satisfactory results and may reduce the risk of complications, compared with more elaborate operations.

Brachiocephalic Trunk↗
PubMed2006

Tracheo-innominate artery fistula in children with high-lying innominate artery.

Tracheo-innominate artery fistula (TIF) is an uncommon but frequently fatal complication of tracheostomy. Significant airway hemorrhage usually occurs after premonitory bleeding. When massive bleeding occurs, immediate control of arterial bleeding, control of the airway and subsequent definite treatment are the principles for saving lives. Without prompt surgical intervention, the outcome of this complication is grave. Physicians should maintain a high index of suspicion of TIF in any patient with a recent tracheostomy and subsequent tracheal hemorrhage.

Brachiocephalic Trunk↗
PubMed1996

Stab wounds of the innominate artery.

BACKGROUND: Innominate artery stab wounds are rarely encountered, and the optimal management of this injury is different from that of blunt innominate injury in that permanent bypass shunting should not be necessary. METHODS: The records of 19 patients with stab wounds of the innominate artery who were treated by our department from January 1982 to June 1995 were reviewed. RESULTS: Eighteen patients (95%) sustained zone 1 neck stabs, with a similar proportion having only a single stab wound. Seventeen (89%) of the 18 patients having chest roentgenograms had mediastinal widening. Thirteen patients (68%) were hemodynamically stable at admission; the remainder were unstable (26%) or moribund (5%). Fourteen patients (74%) underwent angiography, with no false-negative studies for arterial injury. Associated injuries to thoracic viscera occurred in 4 patients (21%). All injuries were repaired with either direct suture (18 of 19) or prosthetic interposition grafting (1 of 19). One patient required cardiopulmonary bypass to repair complex injuries. The overall mortality rate was 5% (1 of 19), and complications occurred in 2 patients (11%). CONCLUSIONS: Innominate artery stab wounds can be managed successfully without permanent bypass shunting and with a low mortality rate.

Adolescent↗
PubMed1977

Anomalous origin of a single coronary artery from the innominate artery.

This is the third reported case of the origin of a single coronary artery arising from the innominate artery (brachiocephalic trunk). Associated cardiovascular malformations were truncus arteriosus and a single ventricle. The term infant died 12 hours after birth. Heart failure, evidenced by severe pulmonary and hepatic congestion found at necropsy, was probably the immediate cause of death. The origin of a single coronary artery from sites other than the aortic or pulmonary sinuses is extremely rare and is always associated with other severe cardiac malformations. Truncus arteriosus and cor bioculare or trioculare are the usual associated abnormalities.

Brachiocephalic Trunk↗
PubMed2000

Extralobar pulmonary sequestration receiving its arterial supply from the innominate artery.

Pulmonary sequestration is a rare bronchopulmonary foregut malformation, for which the arterial blood supply is usually derived from the descending thoracic or abdominal aorta. A 5-week-old infant is described with an extralobar pulmonary sequestration supplied by a large artery originating from the innominate artery, an arrangement only described once previously. Helical CT scan now makes arteriography unnecessary in the evaluation of these malformations.

Age Factors↗
PubMed2000

Arterial cannulation of the innominate artery.

Arterial cannulation of the innominate artery for cardiopulmonary bypass offers the advantage of central cannulation with standard cannulating techniques when the ascending and arch aorta are unavailable (eg, redo, aortic dissection, aneurysms). It avoids the difficulties associated with a second incision (axillary artery cannulation) and retrograde perfusion (femoral artery cannulation).

Brachiocephalic Trunk↗