The Annals of Thoracic Surgery, Vol 20, 698-702, Copyright © 1975 by The Society of Thoracic Surgeons
Trachea--innominate artery fistula following tracheostomy. Successful repair using an innominate vein graft
DB Nunn, AA Sanchez-Salazar, JM McCullagh and A Renard
This report discusses the first recorded patient in whom a trachea--
innominate artery fistula after tracheostomy was treated successfully by
resection of the eroded segment of artery followed by graft replacement
using the patient's left innominate vein. The mechanism of vessel erosion
and its prevention are discussed. Also, suitable methods are presented for
obtaining temporary control of the severe hemorrhage associated with a
tracheoarterial fistula while simultaneously maintaining an adequate
airway.