title: Tracheoinnominate Fistula: Endovascular Treatment with a Stent Graft in a 4-Year-Old Child.
abstract: A 4-year-old boy presented with acute and profuse bleeding at the tracheostomy site. An emergency angiography was performed and identified a pseudoaneurysm at the innominate artery. A selective catheterization of the artery was executed and 2 Advanta V12 balloon-expandable covered stents were implanted in an overlapping manner to occlude the pseudoaneurysm. Final angiography demonstrated patency of the innominate artery and no signs of bleeding. The patient had no postoperative complications and no further bleeding during follow-up. A contrasted computed tomography scan was performed after 20 days and demonstrated no signs of pseudoaneurysm or bleeding. After 4 months, the patient was readmitted to tracheal dilatation and change of T-tube and died of respiratory complications.
authors.affiliation: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Radiology Institute, Interventional Radiology Department, São Paulo, Brazil. Electronic address: rafaelnoronha@yahoo.com.br.
authors.forename: Rafael Noronha
authors.initials: RN
authors.lastname: Cavalcante
authors.affiliation: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Radiology Institute, Interventional Radiology Department, São Paulo, Brazil.
authors.forename: Joaquim Maurício
authors.initials: JM
authors.lastname: Motta-Leal-Filho
authors.affiliation: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Radiology Institute, Interventional Radiology Department, São Paulo, Brazil.
authors.forename: Macello José Sampaio
authors.initials: MJ
authors.lastname: Maciel
authors.affiliation: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Radiology Institute, Interventional Radiology Department, São Paulo, Brazil.
authors.forename: Francisco Cesar
authors.initials: FC
authors.lastname: Carnevale
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D002675:Child, Preschool; D057510:Endovascular Procedures / Q000295:instrumentation*; D017809:Fatal Outcome; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D016156:Respiratory Tract Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed; D014133:Tracheal Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014139:Tracheostomy / Q000009:adverse effects*; D016896:Treatment Outcome; D014654:Vascular Patency; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*