Article Data

  • Views 486
  • Dowloads 16

Case Report

Open Access

Tortuosity of the brachiocephalic artery complicated with arterial injury after tracheotomy: a case report

  • KAZUNARI AZUMA1
  • SHOUJI SUZUKI1
  • YURI ISHII1
  • YASUHIRO UEDA1
  • TSUBASA FUJIKAWA1
  • KENTARO MORINAGA1
  • KEIICHIRO SHIMOYAMA1
  • JUN ODA1

1Department of Emergency and Critical Care Medicine, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan

DOI: 10.22514/SV151.042019.12 Vol.15,Issue 1,April 2019 pp.77-78

Published: 23 April 2019

*Corresponding Author(s): KAZUNARI AZUMA E-mail: kazunari@tokyo-med.ac.jp

Abstract

Tracheotomy is an operation of the airway performed even on critical care patients. Surgical complications of tracheotomies are fatal. In this study, tortuosity of the brachiocephalic artery complicated with arterial injury was observed in a patient af-ter tracheotomy. A 95-year-old woman in coma was admitted to our medical center. The patient needed airway management, and tracheal intubation was performed. The cause of the coma was extensive cer-ebral infarction of the right middle cer-ebral artery. It was expected that the coma would be prolonged, and a tracheotomy was performed after 7 days. Tortuosity of the brachiocephalic artery was confirmed with cervical computed tomography be-fore surgery. The patient bled through the tracheostomy after 30 days. To arrest bleeding from the right common carotid artery, a vascular repair surgery was per-formed. There was no recurrent bleeding after surgery. After 37 days, the patient died of deteriorating primary disease. Although tracheotomy is a common operation, at-tention should be paid to abnormalities of blood vessels including tortuosity of the brachiocephalic artery.

Keywords

arterial injury, brachiocephalic artery, complications, critical care, trache-otomy

Cite and Share

KAZUNARI AZUMA,SHOUJI SUZUKI,YURI ISHII,YASUHIRO UEDA,TSUBASA FUJIKAWA,KENTARO MORINAGA,KEIICHIRO SHIMOYAMA,JUN ODA. Tortuosity of the brachiocephalic artery complicated with arterial injury after tracheotomy: a case report. Signa Vitae. 2019. 15(1);77-78.

References

1. Hori Y, Hashimoto S, Katori Y, Koiwa T, Hozawa K, Kobayashi T. Tracheostomy in tortuous brachiocephalic artery. Nihon Jibiinkoka Gakkai kaiho 2004;107:152-5.

2. Horiguchi M, Izumiyama M, Yan J, Isogai S, Aizawa Y, Ohno T. Tortuous courses of the brachiocephalic and/or common carotid arteries anterior to the superior part of the trachea should be noted in tracheotomy. Japanese Research Society of Clinical Anatomy 2002;2:14-5.

3. Uematsu M, Okada M. Tortuous carotid arteries presenting as a cervical pulsatile mass. Jpn j Vasc Surg 1999;8:465-71.

4. Shlugman D, Satya-Krishna R, Loh L. Acute fatal haemorrhage during percutaneous dilatational tracheostomy. BJA 2003;90:517-20.

5. Kimijima T, Masuda Y, Tatsumi H, Goto K, Nawa Y, Yama N, et al. A percutaneous dilatational tracheotomy in a patient with bra-chiocephalic artery tortuous. J Jpn Soc Intensive Care Med 2016;23:179-80.

6. Chew JY, Cantrell RW. Tracheostomy. Complications and their management. Arch Otolaryngol (Chicago, Ill : 1960) 1972;96:538-45.

7. Jones JW, Reynolds M, Hewitt RL, Drapanas T. Tracheo-innominate artery erosion: Successful surgical management of a devastating complication. Ann Surg 1976;184:194-204.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

IndexCopernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

    Top