One case report of tracheo-innominate artery fistula responsible of massive haemoptysis in a tracheotomized patient: which strategy to adopt?

The tracheo-innominate artery fistula is a rare but life-threatening complication of the tracheotomy. Its care management requires a rapid airway control to allow haemostasis by compression and ventilation. The haemostasis must be immediate and two techniques exist: surgery opencast (sternotomy) or...

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Bibliographic Details
Published in:Annales françaises d'anesthésie et de réanimation 2009-11, Vol.28 (11), p.980-982
Main Authors: Lacroix, G, Meaudre, E, Prunet, B, Bordes, J, Allanic, L, Kaiser, E
Format: Article
Language:fre
Subjects:
Aged
Brachiocephalic Trunk
Female
Hemoptysis - etiology
Hemoptysis - therapy
Humans
Respiratory Tract Fistula - complications
Respiratory Tract Fistula - etiology
Respiratory Tract Fistula - therapy
Tracheal Diseases - complications
Tracheal Diseases - etiology
Tracheal Diseases - therapy
Tracheotomy - adverse effects
Vascular Fistula - complications
Vascular Fistula - etiology
Vascular Fistula - therapy
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Description
Summary:The tracheo-innominate artery fistula is a rare but life-threatening complication of the tracheotomy. Its care management requires a rapid airway control to allow haemostasis by compression and ventilation. The haemostasis must be immediate and two techniques exist: surgery opencast (sternotomy) or interventional radiology. The choice between the two depends largely on the technical platform available. Our case report describes a tracheo-innomninate artery fistula surgically managed with success. The patient carried an anatomic variant, the two carotids come from innominate artery.
ISSN:1769-6623
DOI:10.1016/j.annfar.2009.10.010