A high-riding brachiocephalic artery: a unique diagnostic dilemma
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20242718Keywords:
High-riding, Innominate artery, PulsatileAbstract
We present a case of the A high-riding brachiocephalic artery, a rare variant of neck vessels. It is clinically and surgically important, as unknowingly may lead to severe life-threatening complications. A 67-year-old male, presented with throat pain, dysphagia, heartburn with belching for 4-5 months. He was diagnosed with High riding brachiocephalic on further evaluation with USG neck which was reported as, superiorly placed right brachiocephalic artery noted in the suprasternal notch with maximum diameter 1.6 cm. Asymptomatic nature conservative line of management was followed and on follow up, patient had improvement in the symptoms.
References
Dalati HA, Jabbr MS, Kassouma J. High-riding brachiocephalic (innominate) artery during surgical tracheostomy. (2018) BMJ case reports. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles. Accessed on 23 July 2024.
Dugas BA, Samra NS. Anatomy, Thorax, Brachocephalic (Right Innominate) Arteries. Treasure Island. 2024. Available at: https://www.ncbi.nlm.nih.gov/books/NBK557678. Accessed on 23 July 2024.
Wang PK, Yen PS, Shyr MH, Chen TY, Chen A, Liu HT. Endovascular repair of tracheo-innominate artery fistula. Acta Anaesthesiol Taiwan. 2009;47(1):36-9.
Opieluszko P, Henry BM, Sanna B, Hsieh WC, Saganiak K, Pękala PA, et al. A systematic review and meta-analysis of variations in branching patterns of the adult aortic arch. J Vasc Surg. 2018;68(1):298-306.
Singh N, Fung A, Cole IE. Innominate artery hemorrhage following tracheostomy. Otolaryngol Head Neck Surg. 2007;136(4):68-72.
Backer CL, Mongé MC, Popescu AR, Eltayeb OM, Rastatter JC, Rigsby CK. Vascular rings. Semin Pediatr Surg. 2016;25(3):165-75.
Saniasiaya J, Mohamad I. A Rare Differential Diagnosis of a Solitary Anterior Neck Mass. Oman Med J. 2016;31(5):384-6.
Wannitta Wong ET, Saniasiaya J, Tharek A, Sallehuddin NS. High-riding inominate artery: challenge during tracheostomy. Indian J Otolaryngol Head Neck Surg. 2023;75(4):3878-82.
Groher ME, Bukatman R. The prevalence of swallowing disorders in two teaching hospitals. Dysphagia. 1986;1:3-6.
Gupta A, Winslet MC. Tortuous common carotid artery as a cause of dysphagia. J R Soc Med. 2005;98:275- 6.
Oshinsky AE, Rubin JS, Gwozdz CS. The anatomical basis for post tracheotomy innominate artery rupture. Laryngoscope. 1988;98(10):1061-4.
Netzer A, Ostrovsky D, Bar R, Westerman ST, Golz A. Protection of high-riding aberrant innominate artery during open tracheotomy. J Laryngol Otol. 2010;124:892-5.