High-riding innominate artery: not so uncommon as expected?

Year 2017, , 66 - 68, 31.08.2017

Berk Gurpinar , Guler Berkiten Zeynep Aydogdu Yavuz Uyar

https://doi.org/10.17546/msd.335327

Abstract

Tracheostomy is both an urgent and an elective surgical procedure that is intended to secure the airway and mostly save the life of the affected patient. In elective cases, adequate preparation of the patient and convenience of the surgery reduces the risk on the account of the patient; on the other hand, emergency cases possess the risk of injury to the vital structures.

We present two cases of
aberrantly high-riding innominate arteries that reach the thyroid isthmus. To best
of our knowledge, this entity is rarely reported in the literature. We believe
that, this situation is more frequent than expected. Our aim is to raise
awareness of the risk and alert the surgeons to possible risks

Keywords

brachiocephalic artery, High-riding innominate artery

References

• 1. Netzer A, Ostrovsky D, Bar R, Westerman ST, Golz A. Protection of highriding aberrant innominate artery during open tracheotomy. J Laryngol Otol. 2010;124:892-895.
• 2. Ozlugedik S, Ozcan M, Unal A, Yalcin F, Tezer MS. Surgical importance of highly located innominate artery in neck surgery. Am J Otolaryngol. 2005;26:330-332.
• 3. Upadhyaya PK, Bertellotti R, Laeeq A, Sugimoto J. Beware of the aberrant innominate artery. Ann Thorac Surg. 2008;85:653-654.
• 4. Racic G, Matulic J, Roje Z, et al. Abnormally high bifurcation of the brachiocephalic trunk as a potential operative hazard: case report. Otolaryngol Head Neck Surg. 2005;133:811–813.
• 5. Moore KL. The cardiovascular system. In: Moore KL, Persaud TVN, eds. The developing human: clinically oriented embryology. 8th ed. Philadelphia, Saunders; 2008: 285-337.