High-riding inominate artery: Challenge during tracheostomy

An aberrant vessel presenting as a pulsatile neck mass poses a significant challenge intraoperatively if overlooked during the pre-operative period. We present a case of a high-riding innominate artery (HRIA) just above the suprasternal notch, with the right common carotid artery crossing the midl...

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Main Authors: Wannitta Wong, E-Ting, Saniasiaya, Jeyasakthy, Tharek, Anas, Sallehuddin, Nur Syazwani
Format: Article
Published: Springer Science and Business Media LLC 2023
Online Access:http://psasir.upm.edu.my/id/eprint/108181/
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author Wannitta Wong, E-Ting
Saniasiaya, Jeyasakthy
Tharek, Anas
Sallehuddin, Nur Syazwani
author_facet Wannitta Wong, E-Ting
Saniasiaya, Jeyasakthy
Tharek, Anas
Sallehuddin, Nur Syazwani
author_sort Wannitta Wong, E-Ting
building UPM Institutional Repository
collection Online Access
description An aberrant vessel presenting as a pulsatile neck mass poses a significant challenge intraoperatively if overlooked during the pre-operative period. We present a case of a high-riding innominate artery (HRIA) just above the suprasternal notch, with the right common carotid artery crossing the midline just inferior to the thyroid gland in a 72-year-old lady referred for tracheostomy. The surgeon operating on the anterior part of the neck must be aware of the HRIA and equipped with sufficient knowledge of interventions that may be adapted to prevent injury. We aim to highlight the importance of careful investigations of subtle signs which may lead to the diagnosis and treatment with a review of various interventions for this unusual condition.
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spelling upm-1081812024-09-23T02:09:15Z http://psasir.upm.edu.my/id/eprint/108181/ High-riding inominate artery: Challenge during tracheostomy Wannitta Wong, E-Ting Saniasiaya, Jeyasakthy Tharek, Anas Sallehuddin, Nur Syazwani An aberrant vessel presenting as a pulsatile neck mass poses a significant challenge intraoperatively if overlooked during the pre-operative period. We present a case of a high-riding innominate artery (HRIA) just above the suprasternal notch, with the right common carotid artery crossing the midline just inferior to the thyroid gland in a 72-year-old lady referred for tracheostomy. The surgeon operating on the anterior part of the neck must be aware of the HRIA and equipped with sufficient knowledge of interventions that may be adapted to prevent injury. We aim to highlight the importance of careful investigations of subtle signs which may lead to the diagnosis and treatment with a review of various interventions for this unusual condition. Springer Science and Business Media LLC 2023 Article PeerReviewed Wannitta Wong, E-Ting and Saniasiaya, Jeyasakthy and Tharek, Anas and Sallehuddin, Nur Syazwani (2023) High-riding inominate artery: Challenge during tracheostomy. Indian Journal of Otolaryngology and Head and Neck Surgery, 75 (4). pp. 3878-3882. ISSN 2231-3796; ESSN: 0973-7707 https://link.springer.com/article/10.1007/s12070-023-03944-6?error=cookies_not_supported&code=48e270f2-95f6-448f-803b-5d5e9b2f477e 10.1007/s12070-023-03944-6
spellingShingle Wannitta Wong, E-Ting
Saniasiaya, Jeyasakthy
Tharek, Anas
Sallehuddin, Nur Syazwani
High-riding inominate artery: Challenge during tracheostomy
title High-riding inominate artery: Challenge during tracheostomy
title_full High-riding inominate artery: Challenge during tracheostomy
title_fullStr High-riding inominate artery: Challenge during tracheostomy
title_full_unstemmed High-riding inominate artery: Challenge during tracheostomy
title_short High-riding inominate artery: Challenge during tracheostomy
title_sort high-riding inominate artery: challenge during tracheostomy
url http://psasir.upm.edu.my/id/eprint/108181/
http://psasir.upm.edu.my/id/eprint/108181/
http://psasir.upm.edu.my/id/eprint/108181/