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High-riding brachiocephalic (innominate) artery during surgical tracheostomy
  1. Hatem Ahmad Dalati,
  2. Muhammad Sami Jabbr,
  3. Jamal Kassouma
  1. ENT, Dubai Hospital, Dubai Health Authority, Dubai, United Arab Emirates
  1. Correspondence to Dr Hatem Ahmad Dalati, Dr.hatemdalati{at}


Two cases of a high-riding innominate artery, which were found during routine surgical tracheostomy. A cartilage flap was applied to cover the significant vessel to prevent the life-threatening complications. These two cases were followed up for 2 months without any adverse events. We discussed the related vascular anatomy, imaging studies and brief literature review.

  • ear, nose and throat/otolaryngology
  • head and neck surgery
  • otolaryngology / ent
  • intensive care
  • emergency medicine
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  • Contributors H.A.Dalati is the surgeon and is responsible for the planning, reporting and follow-up of the cases. M.S.Jabbr was responsible for reporting and design. J.Kassouma reviewed the study.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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