A Tracheo-innominate Artery Fistula after Tracheostomy

Autor:	Kiyoshi Tatemichi, Chikashi Mizukami, Nobuhiro Hakuba, Masaki Omura, Jun Tsuji, Makito Tanabe, Hiroyuki Oiki, Etsuo Yamamoto, Yuki Muneta
Rok vydání:	1995
Předmět:	medicine.medical_specialty Thymoma business.industry Fistula medicine.medical_treatment Fascia medicine.disease Tracheal tube Myasthenia gravis Surgery Radiation therapy medicine.anatomical_structure Anesthesia Cuff medicine business Artery
Zdroj:	Nihon Kikan Shokudoka Gakkai Kaiho. 46:53-58
ISSN:	1880-6848 0029-0645
Popis:	A case of a late fatal hemorrhage following tracheostomy was reported. A 45-year-old male underwent thymoma resection and then radiation therapy 9 yaers ago. Even though he underwent a thymoma resection, he showed dyspnea caused by myasthenia gravis 9 years after the operation. Because of the dyspnea, a tracheostomy was performed and a steroid was administered for the treatment of his myasthenia gravis.Three months after the tracheostomy, a massive hemorrhage occurred through the tracheostoma because of a tracheo-innominate artery fistula. The fistula was immediately closed using a tracheal tube with an air cuff and thus successfully controlled. Then, an emergency operation was performed under general anesthesia. A fistula was observed in a tracheal wall and in an innominate artery wall. These fistulae were sutured and a patch of the fascia was inserted between them. Bleeding occurred again from the tracheostoma 2 months after the operation and resulted in the patient's death.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::9219f4366289de44cca70ff988eddeb1 https://doi.org/10.2468/jbes.46.53 Zobrazit plný text záznamu