Tracheoinnominate artery fistula: combined endovascular and surgical management by emergency stent-graft placement followed by cryopreserved arterial allograft repair.
Tracheoinnominate artery fistula is an uncommon but life-threatening complication usually requiring emergency ligation of the artery. The recent introduction of stent-grafts offers a new therapeutic option for emergency management of hemorrhage. Stent-grafts can be used for definitive treatment or as a bridge to surgery. The purpose of this report is to describe a case of hemoptysis due to a tracheoinnominate artery fistula that occurred after a single orotracheal intubation for general anesthesia and was treated by placement of a covered stent followed 12 hours later by surgical revascularization of the innominate artery using a cryopreserved arterial allograft.
Sessa
Carmine
C
Department of Thoracic, Vascular, and Endocrine Surgery, Grenoble University Hospital Center, Grenoble, France. csessa@chu-grenoble.fr
Costache
Victor
V
Porcu
Paolo
P
Thony
Fréderic
F
Blin
Dominique
D
Brichon
Pierre-Yves
PY
Magne
Jean Luc
JL
D017130:Angioplasty; D001158:Arteries / Q000637:transplantation*; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000601:surgery*; D015925:Cryopreservation; D005260:Female; D006469:Hemoptysis / Q000209:etiology / Q000601:surgery; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008875:Middle Aged; D016156:Respiratory Tract Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000293:injuries; D014133:Tracheal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*