Document Detail

Fatal Tracheo-innominate Artery Fistula after Tracheostomy in a Patient with Pelizaeus-Merzbacher Disease.
MedLine Citation:
PMID:  22976606     Owner:  NLM     Status:  In-Data-Review    
Tracheo-innominate artery fistula (TIF) is a serious, life-threatening complication following tracheostomy. We report a fatal TIF in a 15-year-old girl with Pelizaeus-Merzbacher disease. She received a tracheostomy for prolonged translaryngeal intubation due to acute respiratory failure without a trial of noninvasive ventilatory support before intubation. Severe hemorrhage from the TIF occurred 6 months after tracheostomy; immediate resuscitation failed. Antemortem fiberoptic bronchoscopy showed tracheal stenosis accompanied by granulation tissue, and postmortem examination revealed TIF with ulcerative granulation. Preventive intervention is required to avoid catastrophic TIF due to its high mortality rate. Moreover, to avoid prolonged translaryngeal intubation leading to tracheostomy, noninvasive ventilatory support before translaryngeal intubation, if applicable, is beneficial.
Takehide Imai; Masato Takase; Sachiyo Takeda; Katsuji Hosone; Shunichi Tomiyama; Yuichi Nakanowatari
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of Nihon Medical School = Nihon Ika Daigaku zasshi     Volume:  79     ISSN:  1347-3409     ISO Abbreviation:  J Nihon Med Sch     Publication Date:  2012  
Date Detail:
Created Date:  2012-09-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100935589     Medline TA:  J Nihon Med Sch     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  274-9     Citation Subset:  IM    
Department of Pediatrics, Nippon Medical School Tama Nagayama Hospital.
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