[Endotracheal hemorrhage caused by fissuration of the innominate artery during prolonged intubation. Surgical treatment].
We present our surgical procedure for the control of tracheal haemorrhages due to fissuration of the innominate artery in patients with prolonged tracheal intubation or tracheostomy. Temporary haemostasis and protection of the airways against flooding are ensured by downward advancement of the tube, overinflation of the cuffs and digital pressure if required. The fistula is then located and surgical haemostasis is obtained by resection of the innominate artery away from the infected area. The arterial stumps are covered up for protection against secondary infection. Re-establishment of blood flow is not systematic. Cervicosternotomy is regarded as the incision of choice. No complication was encountered in patients treated by this method.
D016122:Brachiocephalic Trunk / Q000293:injuries* / Q000601:surgery; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D014133:Tracheal Diseases / Q000209:etiology* / Q000601:surgery
Hémorragies endotrachéales par fissuration du tronc artériel brachio-céphalique au cours des canulations prolongées. Cure chirurgicale.