Tracheostomy creation leading to innominate artery pseudoaneurysm: A case report

Pawar, Pranay; Rajendra, Naveen; Jagan, Jithin; Sukumar, Senthilkumar; Raju, Radhakrishnan

doi:10.4103/ija.ija_654_19

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…The usual cause of brachiocephalic artery pseudoaneurysm is chest trauma, late complication of thoracic aortic surgery, or catheterization of central venous puncture (1)(2)(3)6). However, as in our patient, a rare case of brachiocephalic artery pseudoaneurysm occurred secondary to iatrogenic injury during tracheostomy surgery (7).…”

Section: Introductionmentioning

confidence: 50%

On table Ruptured of Brachiocephalic Artery Pseudoaneurysm.

SHAMSUL BAHRIN,

CHANDRAN NADARAJAN,

MOHD HAFIZUDDIN HUSIN @ MOHD HUSSIN

et al. 2023

TIJ

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Pseudoaneurysms are abnormal outpouching or dilatation of arteries bound only by the tunica adventitia, the outermost layer of the arterial wall. The presence of a pseudoaneurysm is like a ticking bomb that can rupture anytime causing dire consequences for the patient. The brachiocephalic trunk is an uncommon location for such pseudoaneurysms. We present a patient with this uncommon pseudoaneurysm, which ruptured on the table during stent deployment. We will discuss the diagnosis and management plan for this situation as well as the literature review.

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Section: Introductionmentioning

confidence: 50%

On table Ruptured of Brachiocephalic Artery Pseudoaneurysm.

SHAMSUL BAHRIN,

CHANDRAN NADARAJAN,

MOHD HAFIZUDDIN HUSIN @ MOHD HUSSIN

et al. 2023

TIJ

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“…A 42 year old male patient, a case of polytrauma with multiple long bone fractures with acute kidney injury was requiring prolonged mechanical ventilation and planned for percutaneous dilatational tracheostomy (PDT). [ 1 2 ] The procedure was uneventful until the dilatation of trachea with blue rhino dilator (Ciaglia Blue Rhino Advanced Percutaneous Trachesotomy set, Cook Medical, Bloomington, USA). Once tracheal stomal dilatation was completed, 7.5 mm cuffed tracheostomy tube (TT) was railroaded over the guiding catheter assembly.…”

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confidence: 99%

A novel manoeuvre in succeeding rail-roading of tracheostomy tube

et al. 2021

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“…Proximity of trachea to innominate artery should be kept in mind as accidental injury leading to fatal haemorrhage has been reported during tracheostomy. [ 5 ] Even fatal erosion of innominate artery leading to the formation of tracheo-innominate fistula has been reported. [ 6 ]…”

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confidence: 99%