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Eur J Cardiothorac Surg 2007;31:747-749. doi:10.1016/j.ejcts.2006.12.028
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case reports

Preventive ligation of the innominate artery in patients with neuromuscular disorders

Francesca Iodicea,*, Gianluca Brancacciob, Aldo Lauria, Roberto Di Donatob

a Division of Anesthesia and Intensive Care, Ospedale Bambino Gesù-Palidoro, Rome, Italy
b Division of Cardiothoracic Surgery, Ospedale Bambino Gesù, Rome, Italy

Received 4 September 2006; received in revised form 27 November 2006; accepted 4 December 2006.

* Corresponding author. Address: Ospedale Pediatrico Bambino Gesù-Palidoro, Via Torre di Palidoro-Fiumicino 00050, Rome, Italy. Tel.: +39 06 689591; fax: +39 06 68593246. (Email: francesca_iodice{at}yahoo.it).

Tracheostomy, long-term mechanical ventilation, spinal deformaties are factors that contribute in patients with neuromuscular disorders to the development of an erosion of the tracheal wall and subsequent formation of a tracheo-innominate artery fistula. This condition is fatal unless promptly treated by exclusion of the innominate artery, which is often performed under desperate circumstances. We electively adopted a preventive ligation of the innominate artery in patients at risk for trachea-innominate artery fistula (TIF). We present seven patients with neuromuscular disorders who underwent preventive ligation of the innominate artery. All seven patients survived.

Key Words: Neuromuscular diseases • Tracheo-innominate fistula • Haemorrhage






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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.