A Successful Surgical Repair Tracheo-innominate Artery Fistula : TIF
10.4326/jjcvs.40.318
- VernacularTitle:長期気管切開管理患者の気管-腕頭動脈瘻の1手術救命例
- Author:
Hiroyuki Watanabe
;
Shigeyasu Takeuchi
;
Mitsunori Okimoto
;
Hisanori Fujita
- Publication Type:Journal Article
- Keywords:
tracheo-innominate artery fistula;
surgical repair
- From:Japanese Journal of Cardiovascular Surgery
2011;40(6):318-321
- CountryJapan
- Language:Japanese
-
Abstract:
Tracheo-innominate fistula (TIF) is an uncommon life-threatening complication of tracheostomy. We report a 36 year-old man with post-tracheostomy TIF which was successfully repaired. After temporary control of bleeding, he was transported to our hospital by an ambulance helicopter. Emergency surgery was performed. The tracheal fistula was closed by direct suture and it was covered by sternocleidomastoid muscle flap. After sufficient irrigation, ascending aorta-innominate artery bypass was performed using 8 mm Dacron graft through a right pleural cavity. The postoperative course was uneventful. The patient was discharged from our hospital after 30 days of operation. He has been in good condition for 3 years after surgery. Reconstruction of the innominate artery with vascular prosthesis is feasible even is cases of TIF. However, preventive measures are extremely important to avoid long-term complications such as graft infection or recurrence of TIF.
