Tracheoinnominate Artery Fistula: A Case Report.
- Author:
Maeng Ho KIM
1
;
Il Hyun KIM
;
Kwang Taik KIM
;
Hak Jae KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University, Seoul, Korea. ktkim@interpia.net
- Publication Type:Case Report
- Keywords:
Tracheostomy;
Trachea;
Innominate artery;
Fistula
- MeSH:
Arteries*;
Brachiocephalic Trunk;
Constriction, Pathologic;
Fistula*;
Heart Arrest;
Hemorrhage;
Humans;
Mortality;
Pneumonectomy;
Respiratory Insufficiency;
Silicones;
Trachea;
Tracheostomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(5):536-539
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Tracheoinnominate artery fistula is a rare complication that can happen after tracheostomy, the mortality rate is high and it reqiures urgent surgical management. The patient had received a left pneumonectomy 30 years ago and post-operative course was in uneventful. And tracheostomy was performed for acute respiratory failure due to trachea stenosis for 2 months in recent. She was improved in general condition and changed to a 11 mm silicone Montgomery T-tube. On the 3rd day after the tube changed, she had cardiac arrest due to the excessive hemorrhaging due to tracheoinnominate artery fistula. We report an successusful experience for control of bleeding by an innominate artery fistula division and the Utley maneuver for the tracheoinnominate artery fistula. We report the operation method of bleeding control.
