Successful Surgical Treatment of Tracheo-Innominate Artery Fistula Complicated with Tracheostomy
- VernacularTitle:出血性ショックを伴った気管腕頭動脈瘻に腕頭動脈切離術を施行した1例
- Author:
Kentaro AKABANE
1
;
Tetsuro UCHIDA
1
;
Atsushi YAMASHITA
1
;
Masahiro MIZUMOTO
1
;
Yoshinori KURODA
1
;
Mitsuaki SADAHIRO
1
Author Information
- Keywords: tracheo-innominate artery fistula; innominate artery transection
- From:Japanese Journal of Cardiovascular Surgery 2019;48(1):91-94
- CountryJapan
- Language:Japanese
- Abstract: Tracheo-innominate artery fistula is a rare complication after tracheostomy, but sometimes presents with fatal bleeding. A 10-year-old girl presented with massive bleeding from a tracheostomy that she underwent for prolonged respiratory failure caused by sequelae of mumps encephalitis. Tracheo-innominate artery fistula, complicated by tracheostomy was diagnosed, and she was transferred to our institution. Under general anesthesia, she underwent transection of the innominate artery to exclude the tracheo-innominate artery fistula via median sternotomy. Her postoperative course was uneventful without recurrent bleeding or infection. Considering the risk of tracheo-innominate artery fistula, careful observation is necessary to prevent catastrophic bleeding in patients with mechanical respiratory support via tracheostomy.
