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.
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
Jong-Lyel
JL
Roh
Myung-Hoon
MH
Na
Kwang Hyun
KH
Kim
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*