[Is emergency revascularization of tracheo-innominate artery fistulae mandatory?]
| Autor: | S, Bourgouin, E, Hornez, T, Monchal, Y, Baudoin, L, Meyrat, H, Thouard |
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| Jazyk: | francouzština |
| Rok vydání: | 2009 |
| Předmět: |
Vascular Fistula
Hemoptysis Respiratory Distress Syndrome Tracheal Diseases Amyotrophic Lateral Sclerosis Shock Hemorrhagic Surgical Flaps Mediastinitis Postoperative Complications Neck Muscles Humans Female Emergencies Respiratory Tract Fistula Tracheotomy Ligation Vascular Surgical Procedures Brachiocephalic Trunk Aged |
| Zdroj: | Journal des maladies vasculaires. 35(1) |
| ISSN: | 2214-8116 |
| Popis: | Tracheo-innominate artery fistulas are a rare but life-threatening complications (incidence between 0.1 and 1 %) occurring in tracheostomy patients. Surgery is the treatment of choice. Most authors recommend ligation of the innominate artery, which provides better results in terms of morbidity/mortality than revascularization surgery. We report here a case of innominate artery revascularization isolated from the trachea by a sternocleidomastoid pediculate interposition graft. The procedure was successful as demonstrated by the 2 years follow-up. Revascularization surgery should be reserved of specific cases. The risk of tracheal-mediated infections developing in contact with the vascular sutures warrants systematic use of an interposition graft isolating the trachea from the innominate artery. |
| Databáze: | OpenAIRE |
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