Innominate Artery Dissection Caused by Video-Mediastinoscopy

Ann Thorac Surg. 2021 Jun;111(6):e399-e401. doi: 10.1016/j.athoracsur.2020.08.110. Epub 2020 Nov 27.

Abstract

Mediastinoscopy is considered a safe technique to biopsy mediastinal lesions. Among its complications, vascular ones are the most common. We present a rare case of intimal dissection of the innominate artery during the performance of a mediastinoscopy that caused an ischemic attack from which the patient recovered completely without long-term sequelae. We analyze the possible causes and risk factors of this complication.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Brachiocephalic Trunk* / diagnostic imaging
  • Female
  • Humans
  • Intraoperative Complications / diagnostic imaging
  • Intraoperative Complications / etiology*
  • Mediastinoscopy / adverse effects*
  • Mediastinoscopy / methods
  • Tomography, X-Ray Computed
  • Video-Assisted Surgery