Surgical repair for tracheo-innominate artery fistula with a muscle flap.
A 70-year-old woman was quickly diagnosed as having tracheo-innominate artery fistula by three-dimensional computed tomography. Immediate surgical exploration was performed to control the bleeding using a temporary shunt. After the damaged artery was excised, vascular reconstruction was performed to preserve the connection between the proximal and distal ends of the innominate artery with the interposition of a saphenous vein graft. A pedicled sternocleidomastoid muscle flap was successfully used for the tracheal reconstruction.
Sawamura
Yoshihiro
Y
Department of Cardiovascular Surgery, Ishinomaki Red Cross Hospital, Ishinomaki, Japan.
Takase
Kei
K
Higuchi
Norio
N
Kikuchi
Sekinori
S
Ito
Takashi
T
Tabayashi
Koichi
K
D000368:Aged; D016122:Brachiocephalic Trunk / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications; D016156:Respiratory Tract Fistula / Q000601:surgery*; D013524:Surgical Flaps; D014133:Tracheal Diseases / Q000601:surgery*; D014139:Tracheostomy