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pubmed-article:20638508pubmed:abstractTextWe successfully performed transection of the innominate artery in a patient with a neuromuscular disorder through minimally invasive access after confirming the anatomical relationships of the vessel using 3-dimensional multidetector-row computed tomographic angiography. A 16-year-old girl with spinal muscular atrophy type 1 had been on long-term mechanical ventilation with a tracheostomy. She had scoliosis and tracheomalacia. Bronchoscopy showed a flattened and narrow lower trachea and an anterior pulsatile compression by the innominate artery. She underwent transection of the innominate artery to prevent tracheoinnominate artery fistula formation. Based on preoperative 3-dimensional multidetector-row computed tomographic angiography images, the innominate artery was transected through a small transverse curvilinear skin incision just below the suprasternal notch and an oblique partial manubriotomy from the suprasternal notch to the first left intercostal space.lld:pubmed
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pubmed-article:20638508pubmed:authorpubmed-author:NishijimaEiji...lld:pubmed
pubmed-article:20638508pubmed:authorpubmed-author:HasegawaTomom...lld:pubmed
pubmed-article:20638508pubmed:authorpubmed-author:OkitaYutakaYlld:pubmed
pubmed-article:20638508pubmed:authorpubmed-author:ZaimaAzusaAlld:pubmed
pubmed-article:20638508pubmed:authorpubmed-author:HisamatsuChie...lld:pubmed
pubmed-article:20638508pubmed:copyrightInfoCopyright 2010 Elsevier Inc. All rights reserved.lld:pubmed
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pubmed-article:20638508pubmed:volume45lld:pubmed
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pubmed-article:20638508pubmed:year2010lld:pubmed
pubmed-article:20638508pubmed:articleTitleMinimally invasive innominate artery transection for tracheomalacia using 3-dimensional multidetector-row computed tomographic angiography: report of a case.lld:pubmed
pubmed-article:20638508pubmed:affiliationDivision of Cardiovascular and Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan. thase428@med.kobe-u.ac.jplld:pubmed
pubmed-article:20638508pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:20638508pubmed:publicationTypeCase Reportslld:pubmed