A new technique for treatment of tracheal compression by the innominate artery: external reinforcement with autologous cartilage graft and muscle flap suspension
We report a new technique for treatment of tracheomalacia or tracheal compression caused by the innominate artery, utilized in two patients with neuromuscular disorders. Both cases developed a chest deformity in the setting of severe scoliosis. Computed chest tomography and fiberoptic bronchoscopy s...
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| Veröffentlicht in: | Pediatric surgery international 2008-04, Vol.24 (4), p.431-435 |
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| container_title | Pediatric surgery international |
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| creator | Tatekawa, Yukihiro Tojo, Takashi Hori, Tetsuo Komuro, Hiroaki Urita, Yashuhisa Kudou, Sumi Kaneko, Michio |
| description | We report a new technique for treatment of tracheomalacia or tracheal compression caused by the innominate artery, utilized in two patients with neuromuscular disorders. Both cases developed a chest deformity in the setting of severe scoliosis. Computed chest tomography and fiberoptic bronchoscopy showed that the cervical trachea was compressed between the innominate artery and the cervical spine in the setting of deformity of the thoracic cavity. Both patients required prolonged mechanical ventilation prior to the operative procedure. To relieve compression by the innominate artery, the superior mediastinum was exposed by resection of part of the manubrium allowing a greater space, and external stenting of the cervical trachea with a reinforcing autologous cartilage graft and tracheopexy, as well as anterior suspension of the innominate artery with a sternohyoid muscle flap were carried out. Both patients were successfully weaned from prolonged mechanical ventilation. Resection of the manubrium sterni, tracheal stenting with rib segments and use of the strap muscle to elevate the innominate artery off of the trachea offer potential long-term release of airway obstruction. |
| doi_str_mv | 10.1007/s00383-008-2117-9 |
| format | Article |
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Both cases developed a chest deformity in the setting of severe scoliosis. Computed chest tomography and fiberoptic bronchoscopy showed that the cervical trachea was compressed between the innominate artery and the cervical spine in the setting of deformity of the thoracic cavity. Both patients required prolonged mechanical ventilation prior to the operative procedure. To relieve compression by the innominate artery, the superior mediastinum was exposed by resection of part of the manubrium allowing a greater space, and external stenting of the cervical trachea with a reinforcing autologous cartilage graft and tracheopexy, as well as anterior suspension of the innominate artery with a sternohyoid muscle flap were carried out. Both patients were successfully weaned from prolonged mechanical ventilation. Resection of the manubrium sterni, tracheal stenting with rib segments and use of the strap muscle to elevate the innominate artery off of the trachea offer potential long-term release of airway obstruction.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-008-2117-9</identifier><identifier>PMID: 18259762</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Brachiocephalic Trunk - abnormalities ; Brachiocephalic Trunk - diagnostic imaging ; Brachiocephalic Trunk - surgery ; Bronchoscopy - methods ; Cartilage - transplantation ; Child ; Female ; Humans ; Medicine ; Medicine & Public Health ; Muscles ; Pediatric Surgery ; Pediatrics ; Scoliosis - complications ; Surgery ; Surgical Flaps ; Technical Innovation ; Tomography, X-Ray Computed ; Tracheal Stenosis - diagnostic imaging ; Tracheal Stenosis - etiology ; Tracheal Stenosis - surgery ; Treatment Outcome</subject><ispartof>Pediatric surgery international, 2008-04, Vol.24 (4), p.431-435</ispartof><rights>Springer-Verlag 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-7986bc3882929030516577555454b1e32018e54358e9604103a74ef9c963a9b33</citedby><cites>FETCH-LOGICAL-c398t-7986bc3882929030516577555454b1e32018e54358e9604103a74ef9c963a9b33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-008-2117-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-008-2117-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18259762$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tatekawa, Yukihiro</creatorcontrib><creatorcontrib>Tojo, Takashi</creatorcontrib><creatorcontrib>Hori, Tetsuo</creatorcontrib><creatorcontrib>Komuro, Hiroaki</creatorcontrib><creatorcontrib>Urita, Yashuhisa</creatorcontrib><creatorcontrib>Kudou, Sumi</creatorcontrib><creatorcontrib>Kaneko, Michio</creatorcontrib><title>A new technique for treatment of tracheal compression by the innominate artery: external reinforcement with autologous cartilage graft and muscle flap suspension</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>We report a new technique for treatment of tracheomalacia or tracheal compression caused by the innominate artery, utilized in two patients with neuromuscular disorders. Both cases developed a chest deformity in the setting of severe scoliosis. Computed chest tomography and fiberoptic bronchoscopy showed that the cervical trachea was compressed between the innominate artery and the cervical spine in the setting of deformity of the thoracic cavity. Both patients required prolonged mechanical ventilation prior to the operative procedure. To relieve compression by the innominate artery, the superior mediastinum was exposed by resection of part of the manubrium allowing a greater space, and external stenting of the cervical trachea with a reinforcing autologous cartilage graft and tracheopexy, as well as anterior suspension of the innominate artery with a sternohyoid muscle flap were carried out. Both patients were successfully weaned from prolonged mechanical ventilation. Resection of the manubrium sterni, tracheal stenting with rib segments and use of the strap muscle to elevate the innominate artery off of the trachea offer potential long-term release of airway obstruction.</description><subject>Adolescent</subject><subject>Brachiocephalic Trunk - abnormalities</subject><subject>Brachiocephalic Trunk - diagnostic imaging</subject><subject>Brachiocephalic Trunk - surgery</subject><subject>Bronchoscopy - methods</subject><subject>Cartilage - transplantation</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Muscles</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Scoliosis - complications</subject><subject>Surgery</subject><subject>Surgical Flaps</subject><subject>Technical Innovation</subject><subject>Tomography, X-Ray Computed</subject><subject>Tracheal Stenosis - diagnostic imaging</subject><subject>Tracheal Stenosis - etiology</subject><subject>Tracheal Stenosis - surgery</subject><subject>Treatment Outcome</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc1q3DAUhUVpaKZpH6CbIrrozo1-LEvqLoT-QaCbZC1k5XrGwZZcSSaZx-mb9k5nIFDo6kroO-de3UPIO84-ccb0ZWFMGtkwZhrBuW7sC7LhrcSD4fIl2TCubcOkMufkdSkPDEHZ2VfknBuhrO7Ehvy-ohEeaYWwi-OvFeiQMq0ZfJ0hVpoGvPiwAz_RkOYlQyljirTf07oDOsaY5jH6CtTnCnn_mcIT1oh4hjGiWYC_Ro9j3VG_1jSlbVoLDciPk98C3WY_VOrjPZ3XEiacYPILLWtZIB56vSFng58KvD3VC3L39cvt9ffm5ue3H9dXN02Q1tRGW9P1QRojrLBMMsU7pbVSqlVtz0EKxg2oFpcBtmMtZ9LrFgYbbCe97aW8IB-PvktOuIhS3TyWANPkI-DETqNIat4h-OEf8CGthy8XJ4TorJVMIMSPUMiplAyDW_I4-7x3nLlDeO4YnsNM3CE8Z1Hz_mS89jPcPytOaSEgjkDBp7iF_Nz5_65_ALX_poU</recordid><startdate>20080401</startdate><enddate>20080401</enddate><creator>Tatekawa, Yukihiro</creator><creator>Tojo, Takashi</creator><creator>Hori, Tetsuo</creator><creator>Komuro, Hiroaki</creator><creator>Urita, Yashuhisa</creator><creator>Kudou, Sumi</creator><creator>Kaneko, Michio</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20080401</creationdate><title>A new technique for treatment of tracheal compression by the innominate artery: external reinforcement with autologous cartilage graft and muscle flap suspension</title><author>Tatekawa, Yukihiro ; Tojo, Takashi ; Hori, Tetsuo ; Komuro, Hiroaki ; Urita, Yashuhisa ; Kudou, Sumi ; Kaneko, Michio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-7986bc3882929030516577555454b1e32018e54358e9604103a74ef9c963a9b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Brachiocephalic Trunk - abnormalities</topic><topic>Brachiocephalic Trunk - diagnostic imaging</topic><topic>Brachiocephalic Trunk - surgery</topic><topic>Bronchoscopy - methods</topic><topic>Cartilage - transplantation</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Muscles</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Scoliosis - complications</topic><topic>Surgery</topic><topic>Surgical Flaps</topic><topic>Technical Innovation</topic><topic>Tomography, X-Ray Computed</topic><topic>Tracheal Stenosis - diagnostic imaging</topic><topic>Tracheal Stenosis - etiology</topic><topic>Tracheal Stenosis - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tatekawa, Yukihiro</creatorcontrib><creatorcontrib>Tojo, Takashi</creatorcontrib><creatorcontrib>Hori, Tetsuo</creatorcontrib><creatorcontrib>Komuro, Hiroaki</creatorcontrib><creatorcontrib>Urita, Yashuhisa</creatorcontrib><creatorcontrib>Kudou, Sumi</creatorcontrib><creatorcontrib>Kaneko, Michio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tatekawa, Yukihiro</au><au>Tojo, Takashi</au><au>Hori, Tetsuo</au><au>Komuro, Hiroaki</au><au>Urita, Yashuhisa</au><au>Kudou, Sumi</au><au>Kaneko, Michio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A new technique for treatment of tracheal compression by the innominate artery: external reinforcement with autologous cartilage graft and muscle flap suspension</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2008-04-01</date><risdate>2008</risdate><volume>24</volume><issue>4</issue><spage>431</spage><epage>435</epage><pages>431-435</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>We report a new technique for treatment of tracheomalacia or tracheal compression caused by the innominate artery, utilized in two patients with neuromuscular disorders. Both cases developed a chest deformity in the setting of severe scoliosis. Computed chest tomography and fiberoptic bronchoscopy showed that the cervical trachea was compressed between the innominate artery and the cervical spine in the setting of deformity of the thoracic cavity. Both patients required prolonged mechanical ventilation prior to the operative procedure. To relieve compression by the innominate artery, the superior mediastinum was exposed by resection of part of the manubrium allowing a greater space, and external stenting of the cervical trachea with a reinforcing autologous cartilage graft and tracheopexy, as well as anterior suspension of the innominate artery with a sternohyoid muscle flap were carried out. Both patients were successfully weaned from prolonged mechanical ventilation. Resection of the manubrium sterni, tracheal stenting with rib segments and use of the strap muscle to elevate the innominate artery off of the trachea offer potential long-term release of airway obstruction.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>18259762</pmid><doi>10.1007/s00383-008-2117-9</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0179-0358 |
| ispartof | Pediatric surgery international, 2008-04, Vol.24 (4), p.431-435 |
| issn | 0179-0358 1437-9813 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Brachiocephalic Trunk - abnormalities Brachiocephalic Trunk - diagnostic imaging Brachiocephalic Trunk - surgery Bronchoscopy - methods Cartilage - transplantation Child Female Humans Medicine Medicine & Public Health Muscles Pediatric Surgery Pediatrics Scoliosis - complications Surgery Surgical Flaps Technical Innovation Tomography, X-Ray Computed Tracheal Stenosis - diagnostic imaging Tracheal Stenosis - etiology Tracheal Stenosis - surgery Treatment Outcome |
| title | A new technique for treatment of tracheal compression by the innominate artery: external reinforcement with autologous cartilage graft and muscle flap suspension |
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