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Updated: Jul 12, 2026
07:31
Image Acquisition using Portable Sonography for Emergency Airway Management
Published on: September 28, 2022
Innominate artery compression of trachea.
Manvinder Singh Sachdev1, Raja Joshi, Sushma Kaul
1Department of Pediatrics, Pediatric Cardiology & Congenital Cardiac Surgery Unit, Neonatal Intensive Care Unit*, Indraprastha Apollo Hospital, New Delhi, India.
Indian Journal of Pediatrics
|September 6, 2007
Summary
A rare cause of airway obstruction, the innominate artery crossing the trachea, was diagnosed in a child with stridor. Surgical reimplantation of the innominate artery resolved the obstruction, offering a successful long-term outcome.
Area of Science:
- Vascular Surgery
- Pediatric Airway Management
- Congenital Anomalies
Background:
- Vascular compression of the airway is a rare but serious condition.
- The innominate artery (also known as the brachiocephalic artery) can abnormally cross the trachea, leading to extrinsic airway compression.
Observation:
- A pediatric patient presented with persistent stridor and difficulty with extubation, suggesting significant airway obstruction.
- Initial diagnostic suspicion for vascular etiology was raised.
- Fluoroscopy provided initial clues, while angiography confirmed the diagnosis of innominate artery crossing the trachea.
Findings:
- The study details a case of a child experiencing airway obstruction due to an aberrant innominate artery.
- Diagnostic confirmation was achieved through fluoroscopy and angiography.
- Surgical intervention involving reimplantation of the innominate artery was performed.
Implications:
- Reimplantation of the innominate artery is an effective treatment for this rare cause of pediatric airway obstruction.
- Early diagnosis and surgical correction can lead to excellent long-term outcomes.
- Understanding variations in great vessel anatomy is crucial for pediatric airway management.
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