Successful management of a tracheo-innominate artery fistula following placement of a wire self-expandable tracheal Gianturco stent.
The authors report a case of tracheo-innominate artery fistula secondary to tracheal perforation in an 18-year-old patient who is tetraplegic following cervical trauma. The patient had a very long tracheal stenosis, secondary to tracheostomy, which was managed by laser resection and a Gianturco stent. One of the anterior struts of the stent had eroded the trachea and the posterior wall of the innominate artery. Surgical management consisted of arterial resection, a longitudinal tracheal split incision to withdraw the stent and placement of a Montgomery T-tube. The patient has no respiratory discomfort 7 months after surgery.
Alfaro
J
J
Department of Pneumology, Doce de Octubre Hospital, Madrid, Spain.
Varela
G
G
De-Miguel
E
E
Martin de Nicolas
J L
JL
D000293:Adolescent; D016122:Brachiocephalic Trunk / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D015607:Stents / Q000009:adverse effects*; D014133:Tracheal Diseases / Q000209:etiology / Q000601:surgery*; D014135:Tracheal Stenosis / Q000601:surgery*; D014139:Tracheostomy / Q000009:adverse effects