Innominate Artery Transection via Combined Suprasternal and Intercostal Approach Prevents Tracheoinnominate Artery Fistula

Annals of Vascular Diseases 2026 Open access

Read full text
Authors: Masahide Shichijo, Hiroyuki Morokuma, Nagi Hayashi, Takashi Teishikata, Masafumi Hiratsuka, Keiji Kamohara
DOI: 10.3400/avd.cr.25-00099
Cited by: 0

Abstract

Tracheoinnominate artery fistula is a rare but potentially fatal complication of tracheostomy. We report the case of a 22-year-old male at high risk for tracheoinnominate artery fistula due to severe thoracic deformity. To mitigate the risk, a prophylactic transection of the innominate artery was successfully performed using a combined suprasternal and intercostal approach, thereby avoiding limb perfusion. The patient was discharged without complications. This case highlights the effectiveness of the combined approach for safe innominate artery transection in anatomically challenging cases.

Fields of Study & Subjects

Tracheal and airway disorders Vascular Procedures and Complications Infectious Aortic and Vascular Conditions

Publication details

Journal / source
Annals of Vascular Diseases
Volume
19
Issue
1
Pages
n/a–n/a
Publication date
1 January 2026
Language
EN