Common carotid artery laceration and innominate artery pseudo-aneurysm following a percutaneous dilatational tracheostomy attempt.
Percutaneous dilatational tracheostomy (PDT) has become an appropriate alternative to conventional surgical tracheostomy. It is now performed worldwide by a diverse array of physician specialists. Although adverse events are relatively uncommon, serious complications can arise from this bedside procedure. We report a patient who suffered life-threatening hemorrhage from a common carotid artery laceration and pseudo-aneurysm formation in the innominate artery following an elective PDT procedure.
Department of Internal Medicine.
Parag A
PA
Brahmbhatt
Division of Pulmonary Diseases and Critical Care Medicine, East Tennessee State University, Johnson City, Tennessee.
Fagun D
FD
Modi
Division of Pulmonary Diseases and Critical Care Medicine, James H. Quillen Veterans Affairs Medical Center, Mountain Home, Tennessee.
Thomas M
TM
Roy
Division of Pulmonary Diseases and Critical Care Medicine, James H. Quillen Veterans Affairs Medical Center, Mountain Home, Tennessee. ryland.byrd@med.va.gov.
Ryland P
RP
Byrd
D017541:Aneurysm, False / Q000209:etiology*; D016122:Brachiocephalic Trunk / Q000293:injuries*; D020212:Carotid Artery Injuries / Q000209:etiology*; D017536:Carotid Artery, Common; D017809:Fatal Outcome; D006801:Humans; D022125:Lacerations / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012131:Respiratory Insufficiency / Q000209:etiology / Q000601:surgery*; D014139:Tracheostomy / Q000009:adverse effects* / Q000379:methods
common carotid artery laceration; innominate artery pseudo-aneurysm; percutaneous dilatational tracheostomy