ACA App
Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia
Home | About us | Editorial Board | Search | Ahead of print | Current Issue | Archives | Submission | Subscribe | Advertise | Contact | Login 
Users online: 5237 Small font size Default font size Increase font size Print this article Email this article Bookmark this page
 


 

 
     
    Advanced search
 

 
 
     
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Email Alert *
    Add to My List *
* Registration required (free)  


    Article Figures

 Article Access Statistics
    Viewed971    
    Printed37    
    Emailed0    
    PDF Downloaded105    
    Comments [Add]    

Recommend this journal

 


 
Table of Contents
INTERESTING IMAGE  
Year : 2013  |  Volume : 16  |  Issue : 3  |  Page : 223
Necklace shadow in the neck after surgery


Medanta Institute of Critical Care and Anesthesiology, Medanta the Medicity, Gurgaon, Haryana, India

Click here for correspondence address and email

Date of Web Publication29-Jun-2013
 

How to cite this article:
Rawat RS, Mehta Y, Trehan N. Necklace shadow in the neck after surgery. Ann Card Anaesth 2013;16:223

How to cite this URL:
Rawat RS, Mehta Y, Trehan N. Necklace shadow in the neck after surgery. Ann Card Anaesth [serial online] 2013 [cited 2019 Nov 17];16:223. Available from: http://www.annals.in/text.asp?2013/16/3/223/114259


We describe the finding of a necklace shadow around the neck of a 72-year-old female coronary artery bypass graft patient when her post-operative chest radiograph (anterior-posterior view) was performed [Figure 1]. Arterial blood gas showed PaO 2 135 mmHg. Pulmonary artery pressure and wedge pressure were normal. We looked for necklace around the neck, but we could not find any foreign body. The shadow appeared in continuity with pulmonary artery catheter, which was inserted through right internal jugular vein after induction of anesthesia and before start of the surgery. A slight withdrawal of the catheter was carried out, but this shadow persisted. We compared this X-ray with pre-operative film and a similar shadow was seen in the trachea. The Radiologist's opinion was taken, who described this shadow as calcification of tracheal rings and a finding in old age especially in the female population. It is a normal variant, but the appearance of necklace like shadow is rare. Calcification of tracheal rings was collectively looking as beads of a necklace.
Figure 1: Necklace shadow in the neck

Click here to view


Top
Correspondence Address:
Yatin Mehta
Medanta Institute of Critical Care and Anesthesiology, Medanta the Medicity, Sector 38, Gurgaon - 122 001, Haryana
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.114259

Rights and Permissions


    Figures

  [Figure 1]



 

Top