We report a case of successful innominate artery resection with delayed sternal closure after vacuum-assisted closure (VAC) therapy for a tracheo-innominate artery fistula (TIF). A 42-year-old woman with cerebral palsy underwent tracheostomy for respiratory assistance. On postoperative day 14, she was transferred to our hospital after an episode of massive hemoptysis. TIF was diagnosed based on...

Background: Endovascular approaches are typically preferred to open surgical techniques for symptomatic subclavian/innominate artery stenosis. Due individual patient anatomy, endovascular treatment from a conventional femoral arterial approach can be technically challenging. Our alternative technique using combined radial facilitate an otherwise challenging revascularization procedure. Methods:...

Gross R E, Neuhauser E B D. Compression of the trachea by an anomalous innominate artery: an operation for its relief. Am J Dis Child 1948; 75: 570-4. 2 Fearon B, Shortreed R. Tracheobronchial compression by congenital cardiovascular anomalies in children. Syndrome of apnea. Ann Otol Rhinol Laryngol 1963; 72: 949-69. 3 Mustard W T, Bayliss C E, Fearon B, Pelton D, Trusler G A. Tracheal compress...

The innominate artery (the right brachiocephalic artery) is an aortic branch. From this artery, right carotid artery and subclavian artery are bifurcated. This artery is short and relatively well protected by the bony thorax. However, injury of this artery is not uncommon. Several cases with innominate artery injuries have been documented involving blunt traumatic injury such as motor vehicle a...

A 60-year-old woman involved in a motor vehicle collision presented with a traumatic pseudoaneurysm of the innominate artery origin in addition to multiple concomitant injuries. She was classified as a high-risk candidate for open repair. An experimental thoracic branched graft device was used for coverage of the injury with the addition of a right carotid-to-left carotid-to-left subclavian art...

OBJECTIVES The purpose of this study was to review and assess our surgical management of innominate artery compression of the trachea (IACT) in patients with neurological or neuromuscular disorders (NMDs). METHODS Thirty patients with NMD who underwent surgical treatment for IACT at Kobe Children's Hospital and Kobe University Hospital from 2002 to 2012, were enrolled in this retrospective st...

BACKGROUND This study investigated the safety and outcome of endovascular therapy for steno-occlusive subclavian or innominate artery disease at a single center over a long period of more than 2 decades. METHODS AND RESULTS: We retrospectively analyzed all endovascular procedures of stenosis or occlusion of the subclavian or innominate artery between January 1990 and October 2013. During the ob...

neurological manifestation may complicate takayasu arteritis (ta). a 23-year-old girl with sudden onset of vision loss was admitted to hospital. her brain mri showed abnormal t2-signal hyperintensity and visual evoked potential revealed prolonged p100 latency. consequently, optic neuritis was diagnosed. a review on history of dizziness, falling, and weak pulses of upper extremities led to more ...

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 ...