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Innominate artery compression of the trachea. A simplified technique for anterior suspension of the innominate artery



Innominate artery compression of the trachea. A simplified technique for anterior suspension of the innominate artery



Journal of Cardiovascular Surgery 35(6): 549-552



Objective: When innominate artery compression of the trachea causes airway obstruction in infancy, the standard treatment is anterior suspension of the innominate artery by anchoring it to the back of the sternum to relieve the pressure on the trachea, known as aortotruncopexy. We describe a simplified technique for anterior suspension of the innominate artery, by suturing the pretracheal fascia to the back of the manubrium. Experimental design: We have used this technique in three infants with follow-up to eighteen months. Setting: University teaching hospital, regional paediatric and cardiac surgical centre. Patients: Three infants presenting with intractable respiratory difficulties, principally caused by the innominate artery compression of the trachea. Intervention: All patients underwent right thoracotomy. The innominate artery was lifted away from the trachea by creating a pretracheal fascial sling attached to the back of the manubrium. Measures: Clinical follow-up. Results: All patients have shown improvement in symptoms and none has required further hospitalization. Conclusions: This technique appears to give satisfactory results and may reduce the risk of complications, compared with more elaborate operations.

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Accession: 008884688

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PMID: 7698973


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