The superior vena caval syndrome caused by a substernal thyroid is a rare occurrence. It can, however, result from external compression of the superior vena cava or innominate veins by an intrathoracic goiter. This report details such a case in which innominate vein occlusion was documented both by conventional venography and by a new technique utilizing a radionuclide (sodium pertechnetate 9#{...

Nineteen-year-old girl operated for ostium secundum ASD sustained injury to the left innominate vein during sternotomy, and was repaired immediately. Pulse Doppler (Fig. 1) revealed continuous flow across the fistula and DSA (Fig. 2) showed flow to the left innominate vein into the superior vena cava. Fistula successfully repaired on 10th postoperative day. European Journal of Cardio-thoracic S...

Figure 1: CT image shows the thoracic aorta and supra-aortic trunks seen from anterior (a) and left (b) point of view. The CT measurements are 16 mm for the ascending aorta and 5 mm for the aortic arch and descending thoracic aorta. AA: ascending aorta; AoA: aortic arch; IA: innominate artery; LSA: left subclavian artery; LVA: left vertebral artery; RSA: right subclavian artery. Figure 2: MRI s...

Traumatic injuries to great vessels are relative common in trauma practice. Blunt thoracic trauma may result in dissection injury to aorta and innominate artery. We herein present a late presentation of traumatic innominate artery aneurysm. A29-year-old woman presented with dyspnea to our emergency department. She had previous motor-vehicle accident a month before presentation for which had und...

BACKGROUND Tracheo-innominate artery fistula (TIF) is a rare and fatal complication after tracheostomy. The diagnosis, treatment, and possible prevention of this disease are discussed in this study. METHODS From 1976 to 2008, 14 patients with TIF were studied retrospectively. RESULTS All patients underwent open surgical tracheostomy. Before TIF, herald events occurred in 10 patients (8 had ...

BACKGROUND The purpose of this study was to examine the safety and efficacy of cannulation of the innominate artery with a side graft in arch surgery. METHODS Between January 2004 and March 2009, 46 patients received arch surgery under hypothermia circulatory arrest (HCA) and hemispheric antegrade cerebral perfusion (HACP). There were 36 men and 10 women with an average age of 48.0 +/- 12.8 y...

Bilateral subclavian steal syndrome is a rare condition. It is usually due to reversal of vertebral blood flow in the setting of bilateral proximal subclavian or left subclavian plus innominate artery severe stenosis or occlusion. This finding may cause cerebral ischemia related to upper extremities exercise. We report a case of bilateral subclavian steal secondary to total occlusion of the inn...

Background information The role of leg length discrepancy (LLD) has been implicated in certain types of scoliosis [1]. Scoliotic LLD has been suggested as a result of rotation of the innominate bones [2]. However, the role of innominate vertical lengths (IVLs) as a predisposing factor for scoliosis is not clear. The reliability of radiographic measurements may reveal whether IVL can be used as ...