Document Detail

Tracheo-arterial erosion complicating tracheostomy.
MedLine Citation:
PMID:  382971     Owner:  NLM     Status:  MEDLINE    
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.
M K Arola; M V Inberg; M Sotarauta; E Vänttinen
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annales chirurgiae et gynaecologiae     Volume:  68     ISSN:  0355-9521     ISO Abbreviation:  Ann Chir Gynaecol     Publication Date:  1979  
Date Detail:
Created Date:  1979-10-17     Completed Date:  1979-10-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7609767     Medline TA:  Ann Chir Gynaecol     Country:  FINLAND    
Other Details:
Languages:  eng     Pagination:  9-17     Citation Subset:  IM    
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MeSH Terms
Arteriovenous Shunt, Surgical
Brachiocephalic Trunk / injuries*
Hemorrhage / etiology*,  mortality,  surgery
Lung / radiography
Middle Aged
Pulmonary Circulation
Trachea / blood supply,  injuries*,  radiography
Tracheotomy / adverse effects*,  mortality

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