A Case of Prophylactic Innominate Artery Transection Followed by Laryngotracheal Separation for Tracheal Stenosis Caused by Innominate Artery Compression and Severe Dysphagia

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Key Points

To describe the approach and outcomes of prophylactic innominate artery transection followed by laryngotracheal separation in a patient with tracheal stenosis and dysphagia.
Case report of a 20-year-old male with tracheal stenosis due to innominate artery compression and severe dysphagia.
Utilized endoscopy and CT imaging to assess tracheal narrowing and artery positioning.
Performed prophylactic innominate artery transection followed by laryngotracheal separation.
The patient maintained airway patency post-surgery and regained the ability to consume food orally.
Prophylactic surgery successfully reduced the risks of complications such as tracheo-innominate fistula.
All identified stenosis and dysphagia-related issues were addressed effectively.

Case report demonstrates airway management in tracheal stenosis, indicating safe interventions can prevent serious complications.

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Shuto et al. (2026) studied this question.

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