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http://dx.doi.org/10.1177/0194599814543771 | DOI Listing |
Vascular malformations of the aortic arch and its main branches such as cervical aortic arch and high-riding brachiocephalic artery can present as pulsatile neck swelling. Although this entity is rare, an initial Doppler ultrasound is suggested before intervention to avoid complications from unidentified aberrant vessels.
View Article and Find Full Text PDFLaryngoscope
February 2025
Indiana University School of Medicine, Indianapolis, Indiana, U.S.A.
Despite tracheotomy being a routine procedure, it is not rare to encounter anatomic irregularities that can compromise its success. In this report, we describe a case in which a high riding innominate artery was identified within the surgical trajectory moments before incision, which ultimately necessitated airway securement using an alternative laryngological procedure. Laryngoscope, 135:626-628, 2025.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
December 2023
Department of Otorhinolaryngology, Hospital Serdang, Jalan Puchong, Kajang, Selangor Darul Ehsan 43000 Malaysia.
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.
View Article and Find Full Text PDFJ Cardiothorac Vasc Anesth
December 2023
Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, FL.
Acta Med Acad
April 2023
Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Objective: The current report describes two rare cadaveric findings of a left sided brachiocephalic trunk (BCT) in relation to the trachea, and its high-riding course above the suprasternal notch (SN).
Cases Description: In two elderly body donors dissected after death, a left-sided BCT was identified with a high-riding course (0.5 and 0.
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