Role of aortopexy in the treatment of aberrant innominate artery in children
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In brief
In brief
This retrospective study of 15 pediatric patients demonstrates that aortopexy is a safe and effective treatment for aberrant innominate artery causing tracheal compression. The procedure significantly reduced emergency visits and hospitalizations with no mortality or reoperations, supporting early surgical intervention for this often-misdiagnosed vascular anomaly.
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Abstract
Purpose
The aim of this study was to assess the surgical and follow-up outcomes in children who operated for aberrant innominate artery.
Methods
A total of 15 consecutive patients (12 males, 3 females; mean age 16.3 ± 19.0 months; range 3 months to 6 years) who underwent aortopexy between February 2018 and December 2021 were evaluated. Demographic data, preoperative and postoperative clinical status and postoperative outcomes were retrospectively analyzed.
Results
The mean age at operation was 16.3 ± 19.0 months. The median weight was 8.3 kg (range, 7–14.5 kg).There was no complications at intraoperative period. The mean percent degree of tracheal stenosis was 0.68 ± 0.12. The median (range) MV duration, PICU stay, and ward stay of the patients were 2 h (0–3 h), 2.5 days (1–4 days), and 5 days (3–8 days), respectively. The mean patients’ number of emergency service applications and hospitalization at the preoperative period was 6.2 ± 3.9/2.3 ± 1.6 and, at the postoperative period was 3.3 ± 2.2/0.9 ± 0.8. In comparison of the preoperative and postoperative service application number and hospitalization number, there was significant difference (p < 0.005 and 0.006, respectively). No reoperation was required. There was no mortality.
Conclusion
Aberrant innominate artery is rarely seen. These pathologies misdiagnosis with different reactive airways. Following the diagnosis, treatment can be achieved by surgery successfully.