A case with tracheo-innominate artery fistula. Successful management of endovascular embolization of innominate artery.
Tracheo-innominate artery fistula (TIF) is known as a fatal complication after tracheostomy. We report a 9-year-old girl with early hypoxic encephalopathy who had a tracheo-innominate artery fistula with exsanguinating hemorrhage from her tracheostoma 10 months after tracheostomy. After temporary control of bleeding, embolization of the innominate artery was performed. The patient has remained well 1 year after the procedure. We reviewed the aetiology, diagnosis and management of the tracheo-innominate fistula, and findings suggest that endovascular embolization of the innominate artery may be an appropriate treatment for patients with tracheo-innominate artery fistula.
Takasaki
Kenji
K
Department of Otolaryngology, Sasebo City General Hospital, Sasebo, Japan. ktakasa@net.nagasaki-u.ac.jp
Enatsu
Kaori
K
Nakayama
Masahiko
M
Uchida
Takatoshi
T
Takahashi
Haruo
H
D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging; D001999:Bronchoscopy; D002648:Child; D004621:Embolization, Therapeutic / Q000295:instrumentation; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D016156:Respiratory Tract Fistula / Q000209:etiology* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014133:Tracheal Diseases / Q000209:etiology* / Q000473:pathology; D014139:Tracheostomy / Q000009:adverse effects*; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000209:etiology* / Q000628:therapy*