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Ann Thorac Surg 2001;71:413
© 2001 The Society of Thoracic Surgeons

Invited commentary

^a General Thoracic Surgical Unit, Massachusetts General Hospital, Boston, MA 02114, USA

e-mail: dmathisen@partners.org

Kuwabara and associates are to be congratulated on their outstanding results achieved in seven patients requiring mediastinal tracheostomy. The authors describe two technical modifications that are valuable contributions. They correctly identify the serious complications of this demanding surgical procedure—massive hemorrhage from the innominate artery. This usually occurs because of either erosion of the trachea into the innominate artery or exposure . . . [Full Text of this Article]

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