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J Korean Neurosurg Soc.  2012 Dec;52(6):547-550. 10.3340/jkns.2012.52.6.547.

Successful Treatment of Tracheoinnominate Artery Fistula Following Tracheostomy in a Patient with Cerebrovascular Disease

Affiliations
  • 1Department of Neurosurgery, Gospel Hospital, Kosin University College of Medicine, Busan, Korea. ysparkns@kosinmed.or.kr
  • 2Department of Thoracic and Cardiovascular Surgery, Gospel Hospital, Kosin University College of Medicine, Busan, Korea.

Abstract

Tracheoinnominate artery fistula is a critical complication of tracheostomy. The most important factors influencing patient outcome are prompt diagnosis, immediate control of bleeding with a patent airway, and emergency operation with or without interruption of the innominate artery. Here, we report a case of tracheoinnominate artery fistula in a 40-year-old woman with cerebrovascular accident who was successfully managed with an aorta-axillary artery bypass.

Keyword

Complication; Tracheoinnominate artery fistula; Tracheostomy

MeSH Terms

Arteries
Brachiocephalic Trunk
Emergencies
Female
Fistula
Hemorrhage
Humans
Stroke
Tracheostomy
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