Endovascular Repair of Tracheo-Innominate Artery Fistula

Acta Anaesthesiol Taiwan. 2009 Mar;47(1):36-9. doi: 10.1016/S1875-4597(09)60019-9.

Abstract

Innominate arterial wall rupture with pseudoaneurysm formation was found during angiography in a 39-year-old woman 2 days after she had undergone percutaneous dilatational tracheostomy. Endovascular stent surgery and balloon angioplasty were performed but these procedures failed to control the massive bleeding resulting from an endoleak. We report the clinical presentations and describe the treatment of a tracheo-innominate artery fistula in our patient. We also reviewed the algorithms of management and the rescue options for treating a tracheo-innominate artery fistula.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Angioplasty, Balloon*
  • Brachiocephalic Trunk*
  • Fatal Outcome
  • Female
  • Humans
  • Postoperative Complications
  • Respiratory Tract Fistula / therapy*
  • Stents*
  • Tracheal Diseases / therapy*
  • Tracheostomy
  • Vascular Fistula / therapy*