title: Tracheoinnominate artery fistula: combined endovascular and surgical management by emergency stent-graft placement followed by cryopreserved arterial allograft repair.
abstract: 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.
authors.affiliation: Department of Thoracic, Vascular, and Endocrine Surgery, Grenoble University Hospital Center, Grenoble, France. csessa@chu-grenoble.fr
authors.forename: Carmine
authors.initials: C
authors.lastname: Sessa
authors.forename: Victor
authors.initials: V
authors.lastname: Costache
authors.forename: Paolo
authors.initials: P
authors.lastname: Porcu
authors.forename: Fréderic
authors.initials: F
authors.lastname: Thony
authors.forename: Dominique
authors.initials: D
authors.lastname: Blin
authors.forename: Pierre-Yves
authors.initials: PY
authors.lastname: Brichon
authors.forename: Jean Luc
authors.initials: JL
authors.lastname: Magne
mesh_terms: 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*