Tracheostomy in Patients with Cervical Rib: A Note of Caution

Cervical rib is a congenital phenomenon that usually occurs in association with upper-limb neurovascular symptoms. The presence of a cervical rib displaces the great vessels that cross the thoracic outlet superiorly and proceed into the neck. We report an unusual case of iatrogenic hemorrhage during...

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Veröffentlicht in:	Ear, nose, & throat journal nose, & throat journal, 2003-08, Vol.82 (8), p.626-627
Hauptverfasser:	Prepageran, Narayanan, Raman, Rajagopalan
Format:	Artikel
Sprache:	eng
Schlagworte:	Abnormalities Aged Airway Obstruction - complications Airway Obstruction - surgery Biological and medical sciences Cervical Rib Syndrome - complications Diseases of the osteoarticular system Female Humans Malformations and congenital and or hereditary diseases involving bones. Joint deformations Medical sciences Ribs Subclavian Artery - pathology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system Tracheostomy - adverse effects Tracheotomy
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Beschreibung
Zusammenfassung:	Cervical rib is a congenital phenomenon that usually occurs in association with upper-limb neurovascular symptoms. The presence of a cervical rib displaces the great vessels that cross the thoracic outlet superiorly and proceed into the neck. We report an unusual case of iatrogenic hemorrhage during a tracheostomy in a patient whose right subclavian artery had been displaced by a cervical rib. Our aim is to alert surgeons to the hidden risks of this phenomenon.
ISSN:	0145-5613 1942-7522
DOI:	10.1177/014556130308200820