Successful Surgical Treatment of Tracheo-Innominate Artery Fistula Complicated with Tracheostomy

Kentaro Akabane＊	Tetsuro Uchida＊	Atsushi Yamashita＊
Masahiro Mizumoto＊	Yoshinori Kuroda＊	Mitsuaki Sadahiro＊

（Second Department of Surgery, Yamagata University Hospital＊, Yamagata, Japan）

Tracheo-innominate artery fistula is a rare complication after tracheostomy, but sometimes presents with fatal bleeding. A 10-year-old girl presented with massive bleeding from a tracheostomy that she underwent for prolonged respiratory failure caused by sequelae of mumps encephalitis. Tracheo-innominate artery fistula, complicated by tracheostomy was diagnosed, and she was transferred to our institution. Under general anesthesia, she underwent transection of the innominate artery to exclude the tracheo-innominate artery fistula via median sternotomy. Her postoperative course was uneventful without recurrent bleeding or infection. Considering the risk of tracheo-innominate artery fistula, careful observation is necessary to prevent catastrophic bleeding in patients with mechanical respiratory support via tracheostomy.

 

Jpn. J. Cardiovasc. Surg. 48:91-94（2019）

Keywords：tracheo-innominate artery fistula;innominate artery transection