Treating tracheo-innominate artery fistula with interposition of a pectoralis major myocutaneous flap.
Tracheo-innominate artery fistula (TIF) is an uncommon life-threatening complication of tracheostomy. A prompt diagnosis and surgical intervention can save the life of a TIF patient. Several methods of reconstructing the tracheal defect have been reported, but may not be available in the presence of extensive infection. We used a trough and pectoralis major myocutaneous flap to treat a TIF patient with a large tracheal defect and severe infection who had to be ventilated mechanically. This may be a useful option in the treatment of this rare, devastating complication of tracheostomy.
Roh
Jong-Lyel
JL
Department of Otolaryngology and Head and Neck Surgery, Cancer Research Institute of the Chungnam National University College of Medicine, 301-040, Daejeon, South Korea. rohjl@cnu.ac.kr
Na
Myung-Hoon
MH
Kim
Kwang Hyun
KH
D000368:Aged; D016122:Brachiocephalic Trunk; D017809:Fatal Outcome; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010369:Pectoralis Muscles / Q000637:transplantation*; D013524:Surgical Flaps; D014133:Tracheal Diseases / Q000601:surgery*; D014139:Tracheostomy; D016157:Vascular Fistula / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*