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Keywords = trachea innominate fistula

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10 pages, 7472 KiB  
Case Report
Sudden Death in a Rare Case Due to Tracheo-Innominate Artery Fistula
by Matteo Antonio Sacco, Saverio Gualtieri, Federico Longhini, Eugenio Garofalo, Andrea Bruni, Maria Cristina Verrina, Stefano Lombardo, Santo Gratteri and Isabella Aquila
J. Clin. Med. 2024, 13(23), 7112; https://doi.org/10.3390/jcm13237112 - 25 Nov 2024
Viewed by 1195
Abstract
Background: Tracheostomy is an essential procedure in cases of respiratory failure in patients requiring long-term ventilation or showing airway obstruction. Tracheostomy has both immediate and long-term complications. Among these, tracheo-innominate fistula is an emergency that is a rare long-term complication. When it occurs, [...] Read more.
Background: Tracheostomy is an essential procedure in cases of respiratory failure in patients requiring long-term ventilation or showing airway obstruction. Tracheostomy has both immediate and long-term complications. Among these, tracheo-innominate fistula is an emergency that is a rare long-term complication. When it occurs, this event is catastrophic for the patient’s life, as it causes death in a very short time due to hemorrhagic shock. Therefore, it is essential to identify risk factors to prevent these cases. Methods: We describe the autopsy findings in a case of death from tracheo-innominate fistula of a patient admitted to the Intensive Care Unit. Results: The autopsy demonstrated, in addition to the large fistula, the coexistence of a malformation of the cervical spine with a significant increase in the diameter of the neck. Therefore, we emphasize in this case the importance of evaluating risk factors in subjects with tracheostomy by highlighting the role of anatomy and the size of the neck as potential predictable risks. Conclusions: The work retraces through a review the pathogenesis of this rare complication and emphasizes the need for early diagnosis and prevention of the risk of death with specific risk scales. Full article
(This article belongs to the Section Intensive Care)
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7 pages, 1773 KiB  
Case Report
Prevention of Tracheo-Innominate Artery Fistula Formation as a Complication of Tracheostomy: Two Case Reports
by Byungsun Yoo, Bongjin Lee, June Dong Park, Seong Keun Kwon and Jae Gun Kwak
Children 2022, 9(11), 1603; https://doi.org/10.3390/children9111603 - 22 Oct 2022
Cited by 5 | Viewed by 2407
Abstract
Tracheo-innominate artery fistula (TIF) is a rare complication of tracheostomy and refers to the formation of a fistula between the trachea and innominate artery. Because TIF is fatal, prevention rather than treatment is very important. Here we report the cases of two high-risk [...] Read more.
Tracheo-innominate artery fistula (TIF) is a rare complication of tracheostomy and refers to the formation of a fistula between the trachea and innominate artery. Because TIF is fatal, prevention rather than treatment is very important. Here we report the cases of two high-risk patients who underwent tracheostomy, and in whose cases attempts were made to lower the risk of TIF. In the first patient who developed a chest deformity with Duchenne muscular dystrophy, a tracheostomy was performed with a high-level (cricothyroid level) approach compared with the standard tracheostomy. In the second patient, the thoracic cage was relatively small due to a giant omphalocele, and the risk of a fistula forming was decreased by wrapping the innominate artery with an opened polytetrafluoroethylene vascular graft after resolving crowding of the intrathoracic cavity by total thymectomy. There was no TIF occurrence at the outpatient follow-up in either case. We expect that our approaches may be effective intervention measures for preventing TIF. Full article
(This article belongs to the Special Issue New Aspects in the Diagnosis and Treatment of Acute Surgical Conditions in Children)
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