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Prepageran N, Raman R. Tracheostomy in Patients with Cervical Rib: A Note of Caution. EAR, NOSE & THROAT JOURNAL 2003. [DOI: 10.1177/014556130308200820] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Cervical rib is a congenital phenomenon that usually occurs in association with upper-limb neurovascular symptoms. The presence of a cervical rib displaces the great vessels that cross the thoracic outlet superiorly and proceed into the neck. We report an unusual case of iatrogenic hemorrhage during a tracheostomy in a patient whose right subclavian artery had been displaced by a cervical rib. Our aim is to alert surgeons to the hidden risks of this phenomenon.
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Affiliation(s)
- Narayanan Prepageran
- Department of Otolaryngology, University of Malaya Medical Center, Kuala Lumpur, Malaysia
| | - Rajagopalan Raman
- Department of Otolaryngology, University of Malaya Medical Center, Kuala Lumpur, Malaysia
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