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Innominate Artery Compression Syndrome
Prakash M. Masand, MDRandy R. Richardson, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Anomalous innominate artery
            • Definitions

              • Symptomatic tracheal compression secondary to innominate artery crossing anterior to trachea
                • Related to lack of rigidity in infantile trachea

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Other Modality Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Dugas BA et al: Anatomy, thorax, brachocephalic (right innominate) arteries. StatPearls, 2021
                                        2. Sainathan S et al: Median sternotomy for innominate artery compression syndrome and distal tracheal stenosis. Am Surg. ePub, 2021
                                        3. Maddali MM et al: Real-time confirmation of tracheal decompression. J Card Surg. 35(3):666-7, 2020
                                        4. Maddali MM et al: A rare cause of wheezing in a child with pulmonary atresia. Ann Card Anaesth. 22(4):449-51, 2019
                                        5. Jennings RW et al: Surgical approaches to aortopexy for severe tracheomalacia. J Pediatr Surg. 49(1):66-70; discussion 70-1, 2014
                                        6. Fawcett SL et al: Anatomical variation in the position of the brachiocephalic trunk (innominate artery) with respect to the trachea: a computed tomography-based study and literature review of innominate artery compression syndrome. Clin Anat. 23(1):61-9, 2010
                                        7. Gardella C et al: Tracheal compression by aberrant innominate artery: clinical presentations in infants and children, indications for surgical correction by aortopexy, and short- and long-term outcome. J Pediatr Surg. 45(3):564-73, 2010
                                        8. Lee EY et al: Tracheobronchomalacia in infants and children: multidetector CT evaluation. Radiology. 252(1):7-22, 2009
                                        9. Faust RA et al: Cine magnetic resonance imaging for evaluation of focal tracheomalacia: innominate artery compression syndrome. Int J Pediatr Otorhinolaryngol. 65(1):27-33, 2002
                                        10. Hawkins JA et al: Innominate artery compression of the trachea. Treatment by reimplantation of the innominate artery. J Thorac Cardiovasc Surg. 103(4):678-82, 1992
                                        11. Strife JL et al: Tracheal compression by the innominate artery in infancy and childhood. Radiology. 139(1):73-5, 1981
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Anomalous innominate artery
                                                  • Definitions

                                                    • Symptomatic tracheal compression secondary to innominate artery crossing anterior to trachea
                                                      • Related to lack of rigidity in infantile trachea

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Other Modality Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Dugas BA et al: Anatomy, thorax, brachocephalic (right innominate) arteries. StatPearls, 2021
                                                                              2. Sainathan S et al: Median sternotomy for innominate artery compression syndrome and distal tracheal stenosis. Am Surg. ePub, 2021
                                                                              3. Maddali MM et al: Real-time confirmation of tracheal decompression. J Card Surg. 35(3):666-7, 2020
                                                                              4. Maddali MM et al: A rare cause of wheezing in a child with pulmonary atresia. Ann Card Anaesth. 22(4):449-51, 2019
                                                                              5. Jennings RW et al: Surgical approaches to aortopexy for severe tracheomalacia. J Pediatr Surg. 49(1):66-70; discussion 70-1, 2014
                                                                              6. Fawcett SL et al: Anatomical variation in the position of the brachiocephalic trunk (innominate artery) with respect to the trachea: a computed tomography-based study and literature review of innominate artery compression syndrome. Clin Anat. 23(1):61-9, 2010
                                                                              7. Gardella C et al: Tracheal compression by aberrant innominate artery: clinical presentations in infants and children, indications for surgical correction by aortopexy, and short- and long-term outcome. J Pediatr Surg. 45(3):564-73, 2010
                                                                              8. Lee EY et al: Tracheobronchomalacia in infants and children: multidetector CT evaluation. Radiology. 252(1):7-22, 2009
                                                                              9. Faust RA et al: Cine magnetic resonance imaging for evaluation of focal tracheomalacia: innominate artery compression syndrome. Int J Pediatr Otorhinolaryngol. 65(1):27-33, 2002
                                                                              10. Hawkins JA et al: Innominate artery compression of the trachea. Treatment by reimplantation of the innominate artery. J Thorac Cardiovasc Surg. 103(4):678-82, 1992
                                                                              11. Strife JL et al: Tracheal compression by the innominate artery in infancy and childhood. Radiology. 139(1):73-5, 1981