The substernal goiter, which was connected to the left thyroid lobe, was pulled in the cranial direction, and the part adhering to the surrounding tissue, particularly the tissue between the goiter and the innominate
vein, was dissected by ligation and coagulation with an energy device.
Ultrasound-guided supraclavicular access to the innominate
vein for central venous cannulation.
Tracheal compression by the innominate
artery in infancy and childhood.
Once the tracheal margins were marked and visualized externally, the innominate
artery was retracted while a 4 cm tracheal sleeve, including the tumor, was resected.
Only 3% of patients are reported to have PAPVC from the left lung to the left innominate
Contrast enhanced computed tomography (CT) of the thorax showed chronic occlusion of the left-sided central veins with the presence of a cervical collateral venous flow from the left to the right side reaching the nonoccluded right-sided central veins, specifically the confluence to the right innominate
vein (IV) and, as part of the collateral circulation, a transverse connecting, in parts quite tortuous, and u-shape midline jugular vein measuring about 3 mm in diameter (Figure 1).
On hospital day 7, he underwent a reoperative mechanical aortic valve and partial aortic arch replacement with reimplantation of the innominate
This approach offers a longitudinal view of intrathoracic segment of the SCV reaching (via the innominate
vein on left side) the IJV at the level of the Pirogoff confluent.
His previous operation included reconstruction of the ascending aorta with debranching to the innominate
Chylothorax has been reported in man as a complication of spontaneous thrombosis or obstruction of the superior vena cava, innominate
vein, or subclavian vein.
Because we could not determine which left innominate
went with which right innominate
, we examined all innominates
regardless of side.
The other arterial repairs were internal carotid (2), ascending and arch of aorta (3), descending aorta (2), innominate
artery (3) and pulmonary artery (1).