[One case report of tracheo-innominate artery fistula responsible of massive haemoptysis in a tracheotomized patient: which strategy to adopt?].
The tracheo-innominate artery fistula is a rare but life-threatening complication of the tracheotomy. Its care management requires a rapid airway control to allow haemostasis by compression and ventilation. The haemostasis must be immediate and two techniques exist: surgery opencast (sternotomy) or interventional radiology. The choice between the two depends largely on the technical platform available. Our case report describes a tracheo-innomninate artery fistula surgically managed with success. The patient carried an anatomic variant, the two carotids come from innominate artery.
Lacroix
G
G
Département d'anesthésie-réanimation-urgences, hôpital d'instruction des Armées-Sainte-Anne, boulevard Sainte-Anne, 83000 Toulon, France. gllacroix@aol.com
Meaudre
E
E
Prunet
B
B
Bordes
J
J
Allanic
L
L
Kaiser
E
E
D000368:Aged; D016122:Brachiocephalic Trunk; D005260:Female; D006469:Hemoptysis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D016156:Respiratory Tract Fistula / Q000150:complications / Q000209:etiology* / Q000628:therapy; D014133:Tracheal Diseases / Q000150:complications / Q000209:etiology* / Q000628:therapy; D014140:Tracheotomy / Q000009:adverse effects*; D016157:Vascular Fistula / Q000150:complications / Q000209:etiology* / Q000628:therapy