Prophylactic Ligation of the Innominate Artery and Creation of Tracheostomy in a Neurologically Impaired Girl: A Case Report | Zendy

Masayuki Obatake | Zendy; Takayuki Tokunaga | Zendy; Koji Hashizume | Zendy; Kyoko Mochizuki | Zendy; Takeshi Nagayasu | Zendy

Open Access

Prophylactic Ligation of the Innominate Artery and Creation of Tracheostomy in a Neurologically Impaired Girl: A Case Report

Author(s) -

Masayuki Obatake,

Takayuki Tokunaga,

Koji Hashizume,

Kyoko Mochizuki,

Takeshi Nagayasu

Publication year - 2011

Publication title -

case reports in medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.2

H-Index - 20

eISSN - 1687-9627

pISSN - 1687-9635

DOI - 10.1155/2011/790746

Subject(s) - medicine , ligation , surgery , tracheal stenosis , complication , artery , tracheal intubation , stenosis , girl , airway , anesthesia , intubation , radiology , psychology , developmental psychology

Tracheoinnominate artery fistula is known as a potentially fatal complication for patients who depend on tracheostomy or tracheoesophageal diversion. Since the bleeding from a TIF is often difficult to control, preventative procedures are recommended to avoid this complication. An 11-year-old girl with hypoxic-ischemic encephalopathy and scoliosis developed tracheal stenosis caused by compression from the innominate artery. Respiratory control with intubation through the tracheal stenosis was needed, and the patient was at high risk for developing a TIF. She underwent ligation of the innominate artery at tracheostomy. Subsequent tracheostomy revealed a widened tracheal lumen and no further complications. Prophylactic ligation of the innominate artery and creation of tracheostomy might be considered as a valid option for patients at high risk of developing TIF.

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