Tracheo-innominate artery fistula: two case reports and a clinical review

Ann Thorac Cardiovasc Surg. 2013;19(1):60-2. doi: 10.5761/atcs.cr.12.01889. Epub 2012 Jun 15.

Abstract

Tracheo-innominate artery fistula (TIF) is a surgical emergency with high mortality rates. Reported incidence is 0.1%-1.0% after tracheostomy with peak incidence 3 days to 6 weeks post procedure. TIF is usually fatal once it bleeds. For the successful management of TIF, treatment should be initiated immediately with the special considerations kept in mind. We describe two cases of TIF, and its clinical characteristics are reviewed in accordance with relevant literature.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Brachiocephalic Trunk / injuries*
  • Brachiocephalic Trunk / surgery
  • Bronchoscopy
  • Child
  • Debridement
  • Fatal Outcome
  • Female
  • Hemorrhage / etiology
  • Hemostatic Techniques
  • Humans
  • Male
  • Respiratory Tract Fistula / diagnosis
  • Respiratory Tract Fistula / etiology*
  • Respiratory Tract Fistula / surgery
  • Surgical Flaps
  • Tomography, X-Ray Computed
  • Tracheal Diseases / diagnosis
  • Tracheal Diseases / etiology*
  • Tracheal Diseases / surgery
  • Tracheostomy / adverse effects*
  • Treatment Outcome
  • Vascular Fistula / diagnosis
  • Vascular Fistula / etiology*
  • Vascular Fistula / surgery
  • Vascular Surgical Procedures
  • Young Adult