Document Detail

Tracheoinnominate artery fistula following tracheostomy.
MedLine Citation:
PMID:  8574535     Owner:  NLM     Status:  MEDLINE    
Tracheoinnominate artery fistula is a relatively rare but highly lethal complication occurring in patients with long-standing tracheostomies. Early evaluation of this problem and prompt aggressive therapy are necessary. When massive haemorrhage begins, immediate arterial compression, control of the airway and subsequent treatment of the injured artery may be lifesaving. Immediate surgical exploration through a median sternotomy is necessary to control the proximal and distal innominate artery. After the damaged artery has been excised, vascular reconstruction can be performed to preserve the connection between the proximal and distal ends of the innominate artery. A pedicled pericardial patch was successfully used for the tracheal reconstruction.
H T Keçeligil; M K Erk; F Kolbakir; A Yildirim; M Yilman; R Unal
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  3     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1996-03-13     Completed Date:  1996-03-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  509-10     Citation Subset:  IM    
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MeSH Terms
Brachiocephalic Trunk* / surgery
Fistula / etiology*,  surgery
Hemoptysis / etiology
Tracheal Diseases / etiology*,  surgery
Tracheostomy / adverse effects*
Vascular Diseases / etiology,  surgery

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