| Tracheo-arterial erosion complicating tracheostomy. | |
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MedLine Citation:
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PMID: 382971 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Tracheo-arterial erosion occurred in 5 cases out of 816 tracheostomized patients, i.e. an incidence of 0.6%. The complication is serious and is nearly always fatal. In one case, treatment was successful, but the other four patients died as a result of massive haemorrhage. On the basis of these cases the factors leading to this complication and the possibilities of treatment are discussed. In one case the main cause of innominate artery erosion was the low lying tracheostomy. This patient was rapidly resuscitated, the blood volume was restored, bleeding controlled by direct finger pressure on the innominate artery and an emergency operation was performed immediately. The innominate artery was excluded from circulation and bypassed with an autogenous venous graft. The patient recovered and is doing well after a follow-up of two and half years. |
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Authors:
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M K Arola; M V Inberg; M Sotarauta; E Vänttinen |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Annales chirurgiae et gynaecologiae Volume: 68 ISSN: 0355-9521 ISO Abbreviation: Ann Chir Gynaecol Publication Date: 1979 |
Date Detail:
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Created Date: 1979-10-17 Completed Date: 1979-10-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7609767 Medline TA: Ann Chir Gynaecol Country: FINLAND |
Other Details:
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Languages: eng Pagination: 9-17 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arteriovenous Shunt, Surgical Brachiocephalic Trunk / injuries* Hemorrhage / etiology*, mortality, surgery Humans Lung / radiography Male Middle Aged Pulmonary Circulation Trachea / blood supply, injuries*, radiography Tracheotomy / adverse effects*, mortality |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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