Truncus bicaroticus: An underestimated anatomic variation. (11th November 2013)

• Record Type: Journal Article
• Authors: Becker, Christoph; Csatari, Zoltan; Pfeiffer, Jens
• Is Part Of: Laryngoscope. Volume 124:Number 5(2014:May)
• Page Start: 1141
• Page End: 1142
• Publication Date: 2013-11-11
• Subjects: Otolaryngology -- Periodicals; 617.51005
• DOI: 10.1002/lary.24444
• Languages: English
• ISSNs: 0023-852X

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="lary24444-sec-0001" sec-type="section"> <title>Objectives/Hypothesis</title> <p>To illustrate that a truncus bicaroticus and an elongated truncus brachiocephalicus are underestimated anatomic variations; and to highlight the risk of injury of these vessel anomalies during routine surgical interventions.</p> </sec> <sec id="lary24444-sec-0002" sec-type="section"> <title>Data Source</title> <p>Report of a woman with long‐term ventilation who was planned for conventional surgical tracheostomy. Due to a strong pulsatile vessel crossing the cricoid cartilage, the procedure was stopped. Further diagnostics revealed anomalies of the supraaortic vessels, including a truncus bicaroticus.</p> </sec> <sec id="lary24444-sec-0003" sec-type="section"> <title>Conclusion</title> <p>Anomalies of supraaortic vessels are not rare and injuries may cause severe bleeding; therefore, we recommend performing a preoperative ultrasound, particularly before starting dilatative tracheostomy. <italic>Laryngoscope</italic>, 124:1141–1142, 2014</p> </sec> </abstract>