Absolute contraindications to percutaneous tracheostomy due to anomaly of aortic arch branches origin and running.
نویسندگان
چکیده
Absolute contraindications to percutaneous tracheostomy due to anomaly of aortic arch branches origin and running A 77-year-old patient required percutaneous tracheost-omy. A first clinical evaluation showed a pulsating mass in the suprasternal region. Computed tomography (CT) revealed the presence of anomaly of the aortic arch branches (Fig. 1). We did not perform any type of tracheostomy due to either the high risk or arterial decubitus. Fig. 1. Ectasia of right brachiocephalic artery at origin (diam. max cm 2.9). This arterial trunk is stretched and in a medial position. Right common carotid artery (RCA) and subclavian artery (SA) rise in higher and medial position. Kinking of the distal third of the RCA. Anomalous left common carotid artery (LCA) origin from the left side of the base of the brachio-cephalic trunk.
منابع مشابه
Contraindications to percutaneous tracheostomy due to anomaly of aortic-arch branches origin and running: relative or absolute.
initial repair, we obtained a competent valve and also severe outflow obstruction due to systolic anterior motion (SAM) that we unsuccessfully tried to address with a conventional A2–P2 Alfieri repair. SAM persisted; hence, we removed the midline A2–P2 Alfieri stitch and placed a new edge-to-edge stitch now between the A1–P1 segments as shown in the picture. Actually, in the picture, we can see...
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عنوان ژورنال:
- European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
دوره 40 2 شماره
صفحات -
تاریخ انتشار 2011