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Rupture of Innominate Artery After the Anterior Mediastinal Tracheotomy : A Case Report  

Kim, Seung-Woo (Department of Otolaryngology-Head and Neck Surgery Seoul Veterans Hospital)
Kim, Choon-Dong (Department of Otolaryngology-Head and Neck Surgery Seoul Veterans Hospital)
Kim, Jung-Min (Department of Otolaryngology-Head and Neck Surgery Seoul Veterans Hospital)
Sah, Dae-Jin (Department of Otolaryngology-Head and Neck Surgery Seoul Veterans Hospital)
Publication Information
Korean Journal of Head & Neck Oncology / v.27, no.1, 2011 , pp. 92-95 More about this Journal
Abstract
The anterior mediastinal tracheotomy(AMT) facilitates resection of stomal recurrence after total laryngectomy and tumors involving the cervicothoracic trachea and esophagus. An 81-year-old-man came to our clinic due to the progressive dyspnea during three months. He received the total laryngectomy five years ago. We diagnosed as Sisson type I stomal recurrence and then performed the wide excision, both selective neck dissection, sternal manubrium resection and AMT. Before surgery, we planned the pectoralis major myocutaneous flap. Unluckily we could not fulfill this procedure because of patient's medical status during anesthesia. The tracheocutaneous fistula was observed in the second postoperative day. He expired due to the huge bleeding from the wound. When AMT is performed, exact manipulation of major vessels and adequate flap are mandatory these elevate the feasibility of AMT.
Keywords
Anterior mediastinal tracheotomy; Innominate artery rupture;
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1 Gomez-Caro A, Gimferrer JM, Macchiarini M. Technique to Avoid Innominate Artery Ligation and Perform an Anterior Mediastinal Tracheostomy for Residual Trachea of Less Than 5cm. Ann Thorac Surg. 2007;84:1777-1779.   DOI   ScienceOn
2 McCarthy CM, Kraus DH, Cordeiro PG. Tracheostomal and Cervical Esophageal Reconstruction with Combined Deltopectoral Flap and Microvascular Free Jejunal Transfer after Central Neck Exenteration. Plast. Reconstr. Surg. 2005;115:1304.   DOI   ScienceOn
3 Sisson GA. Mediastinal dissection-resectability and curability of stomal recurrence after total laryngectomy. Auris Nasus Larynx. 1985;12(suppl 2):61-66.   DOI
4 Orringer MB. Anterior mediastinal tracheostomy with and without cervical exenteration. Ann Thorac Surg. 1999;67:591.   DOI   ScienceOn
5 Conti M, Benhamed L, Mortuaire G, Chevalier D, Pinçon C, Wurtz A. Indications and Results of Anterior Mediastinal Tracheostomy for Malignancies. Ann Thorac Surg. 2010;89:1588-1596.   DOI   ScienceOn
6 Imauchi Y, Ito K, Takasago E, Nibu K, Sugasawa M, Ichimura K. Stomal recurrence after total laryngectomy for squamous cell carcinoma of the larynx. Otolaryngol Head Neck Surg. 2002;126:63-66.   DOI
7 Yamamoto Y, Midehiko M, Fukuda S, Furuta Y, Yagi K, Okushiba S. Reconstruction following total laryngopharyngoesophagectomy and extensive resection of the superior mediastinum. Plast Reconstr Surg. 1997;99:506-510.   DOI   ScienceOn
8 Lore Jr JM, Szymula NJ. Superior mediastinal exposure. Arch Otolaryngol. 1980;106:6-7.   DOI
9 Merav AD. The role of mediastinoscopy and anterior mediastinotomy in determining operability of lung cacer: A review of publiccshed questions and answers. Cancer Inv. 1991;9:439-442.   DOI   ScienceOn
10 Orringer MB. Anterior mediastinal tracheostomy. J Thorac Cardiovasc Surg. 1979;78:850-859.
11 Zhao H, Ren J, Zhuo X, Ye H, Zou J, Liu S. Stomal Recurrence After Total Laryngectomy A Clinicopathological Multivariate Analysis. Am J Clin Oncol. 2009;32:154-157.   DOI   ScienceOn
12 Ampil F, Ghali G, Caldito G, Baluna R. Post-laryngectomy stomal cancer recurrences, re-treatment decisions and outcomes: Case series. Journal of Cranio-Maxillofacial Surgery. 2009; 37:349-351.   DOI   ScienceOn