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Tracheo-innominate artery fistula with continuous bleeding successfully treated through the suprasternal approach: a case report

BACKGROUND: Tracheo-innominate artery fistula (TIF) is a rare but fatal complication occurring after tracheotomy. Brachiocephalic trunk transection, one of the surgical treatments for TIF, is mostly associated with a full or partial median sternotomy. We describe a case of TIF with continuous bleedi...

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Autores principales: Kaneko, Shotaro, Uchida, Keiji, Karube, Norihisa, Kasama, Keiichiro, Minami, Tomoyuki, Cho, Tomoki, Izubuchi, Ryo, Fushimi, Kenichi, Yabu, Naoto, Goda, Motohiko, Masuda, Munetaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041115/
https://www.ncbi.nlm.nih.gov/pubmed/32093725
http://dx.doi.org/10.1186/s13019-020-1080-y
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author Kaneko, Shotaro
Uchida, Keiji
Karube, Norihisa
Kasama, Keiichiro
Minami, Tomoyuki
Cho, Tomoki
Izubuchi, Ryo
Fushimi, Kenichi
Yabu, Naoto
Goda, Motohiko
Masuda, Munetaka
author_facet Kaneko, Shotaro
Uchida, Keiji
Karube, Norihisa
Kasama, Keiichiro
Minami, Tomoyuki
Cho, Tomoki
Izubuchi, Ryo
Fushimi, Kenichi
Yabu, Naoto
Goda, Motohiko
Masuda, Munetaka
author_sort Kaneko, Shotaro
collection PubMed
description BACKGROUND: Tracheo-innominate artery fistula (TIF) is a rare but fatal complication occurring after tracheotomy. Brachiocephalic trunk transection, one of the surgical treatments for TIF, is mostly associated with a full or partial median sternotomy. We describe a case of TIF with continuous bleeding, which was successfully treated with brachiocephalic trunk transection through a collar incision without the need for median sternotomy. CASE PRESENTATION: Case 1. An 18-year-old man was referred to our hospital with bleeding from a tracheal stoma, which had ceased prior to admission. TIF was suspected after examination. Innominate artery transection was performed through a collar incision. TIF was not revealed when we cut the innominate artery anterior wall open; therefore, we opted for preventive surgical intervention. The post-operative course was uneventful, and the patient was asymptomatic at the 3-year follow-up. Case 2. A 14-year-old male patient was admitted to our hospital with bleeding from a tracheal stoma, and TIF was suspected after examination. There was persistent bleeding when the cuff of the tracheotomy tube was deflated. Brachiocephalic trunk transection was performed through a collar incision using balloon occlusion. The post-operative course was uneventful, and rebleeding has not occurred 2 years later. CONCLUSIONS: Brachiocephalic trunk transection without any median sternotomy may offer the benefits of post-operative infection prevention. In patients with suspected continuous bleeding, using a balloon catheter may be a safe and effective method of treatment.
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spelling pubmed-70411152020-03-02 Tracheo-innominate artery fistula with continuous bleeding successfully treated through the suprasternal approach: a case report Kaneko, Shotaro Uchida, Keiji Karube, Norihisa Kasama, Keiichiro Minami, Tomoyuki Cho, Tomoki Izubuchi, Ryo Fushimi, Kenichi Yabu, Naoto Goda, Motohiko Masuda, Munetaka J Cardiothorac Surg Case Report BACKGROUND: Tracheo-innominate artery fistula (TIF) is a rare but fatal complication occurring after tracheotomy. Brachiocephalic trunk transection, one of the surgical treatments for TIF, is mostly associated with a full or partial median sternotomy. We describe a case of TIF with continuous bleeding, which was successfully treated with brachiocephalic trunk transection through a collar incision without the need for median sternotomy. CASE PRESENTATION: Case 1. An 18-year-old man was referred to our hospital with bleeding from a tracheal stoma, which had ceased prior to admission. TIF was suspected after examination. Innominate artery transection was performed through a collar incision. TIF was not revealed when we cut the innominate artery anterior wall open; therefore, we opted for preventive surgical intervention. The post-operative course was uneventful, and the patient was asymptomatic at the 3-year follow-up. Case 2. A 14-year-old male patient was admitted to our hospital with bleeding from a tracheal stoma, and TIF was suspected after examination. There was persistent bleeding when the cuff of the tracheotomy tube was deflated. Brachiocephalic trunk transection was performed through a collar incision using balloon occlusion. The post-operative course was uneventful, and rebleeding has not occurred 2 years later. CONCLUSIONS: Brachiocephalic trunk transection without any median sternotomy may offer the benefits of post-operative infection prevention. In patients with suspected continuous bleeding, using a balloon catheter may be a safe and effective method of treatment. BioMed Central 2020-02-24 /pmc/articles/PMC7041115/ /pubmed/32093725 http://dx.doi.org/10.1186/s13019-020-1080-y Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Kaneko, Shotaro
Uchida, Keiji
Karube, Norihisa
Kasama, Keiichiro
Minami, Tomoyuki
Cho, Tomoki
Izubuchi, Ryo
Fushimi, Kenichi
Yabu, Naoto
Goda, Motohiko
Masuda, Munetaka
Tracheo-innominate artery fistula with continuous bleeding successfully treated through the suprasternal approach: a case report
title Tracheo-innominate artery fistula with continuous bleeding successfully treated through the suprasternal approach: a case report
title_full Tracheo-innominate artery fistula with continuous bleeding successfully treated through the suprasternal approach: a case report
title_fullStr Tracheo-innominate artery fistula with continuous bleeding successfully treated through the suprasternal approach: a case report
title_full_unstemmed Tracheo-innominate artery fistula with continuous bleeding successfully treated through the suprasternal approach: a case report
title_short Tracheo-innominate artery fistula with continuous bleeding successfully treated through the suprasternal approach: a case report
title_sort tracheo-innominate artery fistula with continuous bleeding successfully treated through the suprasternal approach: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041115/
https://www.ncbi.nlm.nih.gov/pubmed/32093725
http://dx.doi.org/10.1186/s13019-020-1080-y
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