A Successful Surgical Repair Tracheo-innominate Artery Fistula : TIF

Tracheo-innominate fistula (TIF) is an uncommon life-threatening complication of tracheostomy. We report a 36 year-old man with post-tracheostomy TIF which was successfully repaired. After temporary control of bleeding, he was transported to our hospital by an ambulance helicopter. Emergency surgery...

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Bibliographic Details
Published inJapanese Journal of Cardiovascular Surgery Vol. 40; no. 6; pp. 318 - 321
Main Authors Watanabe, Hiroyuki, Takeuchi, Shigeyasu, Okimoto, Mitsunori, Fujita, Hisanori
Format Journal Article
LanguageJapanese
Published The Japanese Society for Cardiovascular Surgery 15.11.2011
Subjects
surgical repair
tracheo-innominate artery fistula
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Summary:Tracheo-innominate fistula (TIF) is an uncommon life-threatening complication of tracheostomy. We report a 36 year-old man with post-tracheostomy TIF which was successfully repaired. After temporary control of bleeding, he was transported to our hospital by an ambulance helicopter. Emergency surgery was performed. The tracheal fistula was closed by direct suture and it was covered by sternocleidomastoid muscle flap. After sufficient irrigation, ascending aorta-innominate artery bypass was performed using 8 mm Dacron graft through a right pleural cavity. The postoperative course was uneventful. The patient was discharged from our hospital after 30 days of operation. He has been in good condition for 3 years after surgery. Reconstruction of the innominate artery with vascular prosthesis is feasible even is cases of TIF. However, preventive measures are extremely important to avoid long-term complications such as graft infection or recurrence of TIF.
ISSN:0285-1474
1883-4108
DOI:10.4326/jjcvs.40.318