Synchronous reconstruction of the trachea and innominate artery in thyroid carcinoma

A 50-year-old woman underwent combined resection and reconstruction of the trachea and the innominate artery synchronously for thyroid carcinoma. The pedicled thymus was interposed between the anastomosis of the trachea and the artery. The postoperative course was satisfactory. Synchronous reconstruction of the artery and trachea may thus prove to be safe, and interposition of the thymus flap may be useful in the prevention of secondary graft infection from the tracheal anastomosis.