title: Combined tracheoinnominate artery fistula and tracheoesophageal fistula: A very rare complication of indwelling tracheostomy tube.
abstract: Tracheoinnominate artery fistula (TIF) is a serious complication of tracheostomy. If untreated, it could be life-threatening. The emergency approach to the condition that includes prompt diagnosis, rapid control of bleeding with a clear airway, and operation with or without interruption of the innominate artery are the most important factors influencing patient outcome. Tracheoesophageal fistula (TEF) is another complication of tracheostomy. In association with compromised quality of life, this condition is really hard to be treated. We report a case of combined TIF and TEF in a 27-year-old man with quadriplegia who suffered a car accident but was successfully managed with interruption and ligature of the innominate artery repair of trachea.
authors.affiliation: Endoscopic and Minimally Invasive Surgery Research Center, Ghaem Hospital, Mashhad, Iran.
authors.forename: Marziyeh Nouri
authors.initials: MN
authors.lastname: Dalouee
authors.affiliation: Cardio-Thoracic Surgery and Transplant Research Center, Emam Reza Hospital, Mashhad, Iran.
authors.forename: Seyed Hossein Fattahi
authors.initials: SH
authors.lastname: Masuom
authors.affiliation: Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Rahnama
authors.affiliation: Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Rajai
keywords: Surgery; tracheoesophageal fistula; tracheoinnominate artery fistula; tracheostomy