Abstract
Tracheal stenosis of the brachiocephalic artery (BCA) is rare, and no definitive treatment protocol has yet been established. Brachiocephalic artery compression of the trachea is also relatively rare. This report presents a case of tracheal stenosis treated by division of the BCA. A 29-year-old woman was admitted because of stridor. Computed tomography (CT) revealed tracheal stenosis caused by compression of the BCA. Brachiocephalic artery suspension or aortopexy was not indicated because she had a thoracic deformity. Therefore, the BCA was divided. The operation was achieved without complications such as ischemia of the right arm or stroke. The stenosis of the trachea was improved. Division of the BCA can be an effective alternative procedure when the tracheal stenosis is caused by the BCA.
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References
Tsugawa C, Ono Y, Nishijima E, Takamizawa S, Satoh S, Muraji T. Transection of the innominate artery for tracheomalacia caused by persistent opisthotonus. Pediatr Surg Int 2004;20(1):55–57.
Tatekawa Y, Tojo T, Hori T, Komuro H, Urita Y, Kudou S, et al. A new technique for treatment of tracheal compression by the innominate artery: external reinforcement with autologous cartilage graft and muscle flap suspension. Pediatr Surg Int 2008;24(4):431–435.
Adler SC, Isaacson G, Balsara RK. Innominate artery compression of the trachea: diagnosis and treatment by anterior suspension. A 25-year experience. Ann Otol Rhinol Laryngol 1995;104(12):924–927.
Tsukada H, Inoue H, Osada H. Re-epithelialization after laser therapy of a stenotic artificial tracheal graft: a pilot experimental study. Surg Today 2008;38:672–674.
Ligush J Jr, Criado E, Keagy BA. Innominate artery occlusive disease: management with central reconstructive techniques. Surgery 1997;121(5):556–562.
Van Damme H, Caudron D, Defraigne JO, Limet R. Brachiocephalic arterial reconstruction. Acta Chir Belg 1992;92(1):37–45.
Grillo HC, Wright CD, Dartevelle PG, Wain JC, Murakami S. Tracheal compression caused by straight back syndrome, chest wall deformity, and anterior spinal displacement: techniques for relief. Ann Thorac Surg 2005;80(6):2057–2062.
Kim PY, Klima U, Lichtenberg A, Kutschka I, Haverich A. A new minimally invasive approach to the subclavian artery. Ann Thorac Surg 1998;66:2104–2106.
Grunenwald D, Spaggiari L. Transmanubrial osteomuscular sparing approach for apical chest tumors. Ann Thorac Surg 1997;63:563–566.
Taguchi S, Niibori S, Moro K. Use of three-dimensional computed tomography images in deciding the approach for ministernotomy operations. Ann Thorac Surg 2000;70:1090–1093.
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Minagawa, T., Oizumi, H., Emura, T. et al. Tracheal stenosis treated by division of the brachiocephalic artery: Report of a case. Surg Today 40, 1152–1154 (2010). https://doi.org/10.1007/s00595-009-4194-3
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DOI: https://doi.org/10.1007/s00595-009-4194-3