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Treatment of Tracheoinnominate Fistula with Ligation of the Innominate Artery: A Case Report

Authors :
Matthew A Dowell
Simon Ashiku
Rhiana Menen
Jeffrey B. Velotta
Jimmy J Pak
Ashish R. Patel
Source :
The Permanente Journal. 20
Publication Year :
2016
Publisher :
The Permanente Federation, 2016.

Abstract

INTRODUCTION Tracheoinnominate fistula, a rare complication of tracheostomy, carries high mortality regardless of treatment; therefore prevention and quick diagnosis is pertinent to survival. CASE PRESENTATION A 76-year-old man who underwent emergent tracheostomy placement presented on postoperative day 10 with massive hemorrhage concerning for tracheoinnominate fistula and was treated with median sternotomy and ligation of the innominate artery. DISCUSSION This presentation describes a concise diagnosis and treatment plan for a rare event. The key to good outcomes is quick diagnosis and urgent surgical intervention.

Details

ISSN :
15525775 and 15525767
Volume :
20
Database :
OpenAIRE
Journal :
The Permanente Journal
Accession number :
edsair.doi.dedup.....cd7340a00e0cee28d02407e0f060e8b6
Full Text :
https://doi.org/10.7812/tpp/15-166