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Ann Thorac Surg 1975;20:698-702
© 1975 The Society of Thoracic Surgeons


Articles

Trachea — Innominate Artery Fistula Following Tracheostomy

Successful Repair Using an Innominate Vein Graft

Daniel B. Nunn, M.D.*, Anibal A. Sanchez-Salazar, M.D., J. Michael McCullagh, M.D., Andre Renard, M.D.

From the Departments of Surgery and Anesthesiology, Methodist Hospital, Jacksonville, Fla

Accepted for publication March 26, 1975.

* Address reprint requests to Dr. Nunn, 2105 Park St., Jacksonville, Fla. 32204

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.




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Copyright © 1975 by The Society of Thoracic Surgeons.