Tracheoesophageal fistula and tracheo-subclavian artery fistula after tracheostomy.
Tracheoesophageal fistula and tracheo-arterial fistula are both uncommon but life-threatening complications after a tracheostomy. The most common source of a major hemorrhage is from the tracheo-innominate artery fistula. Most tracheo-arterial fistulas occur within the first 3 weeks after tracheostomy. We describe a very rare case of a patient who developed both a tracheoesophageal fistula and massive hemorrhage from a tracheo-left subclavian artery fistula 4 months after a tracheostomy procedure.
Hung
Jung-Jyh
JJ
Division of Thoracic Surgery, Department of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Hsu
Han-Shui
HS
Huang
Chien-Sheng
CS
Yang
Kuang-Yao
KY
D000369:Aged, 80 and over; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D019106:Postoperative Hemorrhage / Q000209:etiology*; D013348:Subclavian Artery; D014138:Tracheoesophageal Fistula / Q000209:etiology* / Q000601:surgery; D014139:Tracheostomy / Q000009:adverse effects*; D016157:Vascular Fistula / Q000209:etiology* / Q000601:surgery