Tracheal Compression by Aberrant Innominate Artery: A Case Report
The brachiocephalic trunk arises from the convexity of the aortic arch, posterior to the manubrium sterni. In rare cases, the origin of the brachiocephalic trunk is shifted to the left of the midline, crosses the trachea through an oblique course, and rises upwards. Sometimes this aberrant artery du...
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JCDR Research and Publications Private Limited
2025-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/20754/72935_CE[Ra1]_F(SL)_PF1(KrA_SL)_redo_PFA(IS)_PB(KrA_IS)_PN(IS).pdf |
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| author | Ankit Agarwal Nidhi Bedi Pankaj Abrol Ankit Parakh Renu Sharma |
| author_facet | Ankit Agarwal Nidhi Bedi Pankaj Abrol Ankit Parakh Renu Sharma |
| author_sort | Ankit Agarwal |
| collection | DOAJ |
| description | The brachiocephalic trunk arises from the convexity of the aortic arch, posterior to the manubrium sterni. In rare cases, the origin of the brachiocephalic trunk is shifted to the left of the midline, crosses the trachea through an oblique course, and rises upwards. Sometimes this aberrant artery due to an anomalous course can cause a triad of symptoms consisting of cough, stridor, and occasional apnoea known as innominate artery compression syndrome. Here one such case is presented in which, a nine-month-old infant presented with complaints of recurrent cough and noisy breathing since 10 days of age. The infant had a history of frequent hospital admissions for cough since one month of age where he was given nebulisation but with only partial response. A bronchoscopy was done which was suggestive of mid-tracheal compression. Contrast-Enhanced Computed Tomography (CECT) chest confirmed the diagnosis and the child was then referred to a cardiac surgeon for further management. It is important to note that compression of the trachea or tracheobronchial tree by congenital vascular anomalies is not an uncommon cause of stridor and should always be considered a differential diagnosis while evaluating such cases. |
| format | Article |
| id | doaj-art-d55ec83a5d12498ca9f81e28e397bc73 |
| institution | OA Journals |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-d55ec83a5d12498ca9f81e28e397bc732025-08-20T02:28:02ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-03-01193030410.7860/JCDR/2025/72935.20754Tracheal Compression by Aberrant Innominate Artery: A Case ReportAnkit Agarwal0Nidhi Bedi1Pankaj Abrol2Ankit Parakh3Renu Sharma4Junior Resident, Department of Paediatrics, The Faculty of Medicine and Health Sciences, Gurugram, Haryana, India.Professor, Department of Paediatrics, The Faculty of Medicine and Health Sciences, Gurugram, Haryana, India.Professor and Head, Department of Paediatrics, The Faculty of Medicine and Health Sciences, Gurugram, Haryana, India.Consultant Paediatric Pulmonologist, Department of Paediatrics, BLK MAX Hospital, Gurugram, Haryana, India.Senior Resident, Department of Paediatrics, The Faculty of Medicine and Health Sciences, Gurugram, Haryana, India.The brachiocephalic trunk arises from the convexity of the aortic arch, posterior to the manubrium sterni. In rare cases, the origin of the brachiocephalic trunk is shifted to the left of the midline, crosses the trachea through an oblique course, and rises upwards. Sometimes this aberrant artery due to an anomalous course can cause a triad of symptoms consisting of cough, stridor, and occasional apnoea known as innominate artery compression syndrome. Here one such case is presented in which, a nine-month-old infant presented with complaints of recurrent cough and noisy breathing since 10 days of age. The infant had a history of frequent hospital admissions for cough since one month of age where he was given nebulisation but with only partial response. A bronchoscopy was done which was suggestive of mid-tracheal compression. Contrast-Enhanced Computed Tomography (CECT) chest confirmed the diagnosis and the child was then referred to a cardiac surgeon for further management. It is important to note that compression of the trachea or tracheobronchial tree by congenital vascular anomalies is not an uncommon cause of stridor and should always be considered a differential diagnosis while evaluating such cases.https://jcdr.net/articles/PDF/20754/72935_CE[Ra1]_F(SL)_PF1(KrA_SL)_redo_PFA(IS)_PB(KrA_IS)_PN(IS).pdfaortic arch syndromesbrachiocephalic trunktracheal stenosis |
| spellingShingle | Ankit Agarwal Nidhi Bedi Pankaj Abrol Ankit Parakh Renu Sharma Tracheal Compression by Aberrant Innominate Artery: A Case Report Journal of Clinical and Diagnostic Research aortic arch syndromes brachiocephalic trunk tracheal stenosis |
| title | Tracheal Compression by Aberrant Innominate Artery: A Case Report |
| title_full | Tracheal Compression by Aberrant Innominate Artery: A Case Report |
| title_fullStr | Tracheal Compression by Aberrant Innominate Artery: A Case Report |
| title_full_unstemmed | Tracheal Compression by Aberrant Innominate Artery: A Case Report |
| title_short | Tracheal Compression by Aberrant Innominate Artery: A Case Report |
| title_sort | tracheal compression by aberrant innominate artery a case report |
| topic | aortic arch syndromes brachiocephalic trunk tracheal stenosis |
| url | https://jcdr.net/articles/PDF/20754/72935_CE[Ra1]_F(SL)_PF1(KrA_SL)_redo_PFA(IS)_PB(KrA_IS)_PN(IS).pdf |
| work_keys_str_mv | AT ankitagarwal trachealcompressionbyaberrantinnominatearteryacasereport AT nidhibedi trachealcompressionbyaberrantinnominatearteryacasereport AT pankajabrol trachealcompressionbyaberrantinnominatearteryacasereport AT ankitparakh trachealcompressionbyaberrantinnominatearteryacasereport AT renusharma trachealcompressionbyaberrantinnominatearteryacasereport |