title: Treatment of Tracheoinnominate Fistula with Ligation of the Innominate Artery: A Case Report.
abstract: Tracheoinnominate fistula, a rare complication of tracheostomy, carries high mortality regardless of treatment; therefore prevention and quick diagnosis is pertinent to survival.
  
  
  
  A 76-year-old man who underwent emergent tracheostomy placement presented on postoperative day 10 with massive hemorrhage concerning for tracheoinnominate fistula and was treated with median sternotomy and ligation of the innominate artery.
  
  
  
  This presentation describes a concise diagnosis and treatment plan for a rare event. The key to good outcomes is quick diagnosis and urgent surgical intervention.
authors.affiliation: Surgeon at the University of California San Francisco-Eastbay in Oakland. rsmenen@mdanderson.org.
authors.forename: Rhiana S
authors.initials: RS
authors.lastname: Menen
authors.affiliation: Vascular Surgeon at the Oakland Medical Center in CA. jimmy.j.pak@kp.org.
authors.forename: Jimmy J
authors.initials: JJ
authors.lastname: Pak
authors.affiliation: Thoracic Surgery Physician Assistant at the Oakland Medical Center in CA. matthew.a.dowell@kp.org.
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Dowell
authors.affiliation: Thoracic Surgeon at the Oakland Medical Center in CA. ashish.r.patel@kp.org.
authors.forename: Ashish R
authors.initials: AR
authors.lastname: Patel
authors.affiliation: Thoracic Surgeon at the Oakland Medical Center in CA. simon.k.ashiku@kp.org.
authors.forename: Simon K
authors.initials: SK
authors.lastname: Ashiku
authors.affiliation: Thoracic Surgeon at the Oakland Medical Center in CA. Jeffrey.b.velotta@kp.org.
authors.forename: Jeffrey B
authors.initials: JB
authors.lastname: Velotta
mesh_terms: D000368:Aged; D016122:Brachiocephalic Trunk / Q000503:physiopathology* / Q000601:surgery*; D005402:Fistula / Q000601:surgery*; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008026:Ligation; D008297:Male; D014139:Tracheostomy; D016896:Treatment Outcome