Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2009 / Cilt: 15 - Sayı: 5

Trakeo-innominat arter fistülü: İki olgu

Tracheo-innominate artery fistula: Two cases

Pages
505–508
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

On the other hand, only patients treated with emergency surgery tend to survive.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Tracheo-innominate artery fistula (TIF) is a rare but catastrophic and almost always fatal complication of tracheostomy.
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Key Findings & Data:The first patient died due to respiratory failure 10 hours after operation.
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Conclusion & Impact:On the other hand, only patients treated with emergency surgery tend to survive.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Erkek · Ölümle sonuçlanma · Erişkin

Abstract

Tracheo-innominate artery fistula (TIF) is a rare but catastrophic and almost always fatal complication of tracheostomy. Two surgically intervened TIF cases are presented. In both cases, innominate artery ligation was performed. The first patient died due to respiratory failure 10 hours after operation. The second patient was discharged with normal neurologic examination on the 12th day of operation. Since the mechanism of injury leading to TIF is pressure necrosis, it is of vital importance to be aware of the predisposing factors and to take preventive measures. On the other hand, only patients treated with emergency surgery tend to survive.

Özet

Trakeo-innominat arter fistülü (TİF) nadir ancak trakeostominin dramatik ve öldürücü bir komplikasyonudur. Bu çalışmada cerrahi olarak tedavi edilen iki TİF olgusu sunulmuştur. Her iki hastaya da ligasyon uygulandı. Birinci hasta ameliyattan on saat sonra solunum yetersizliği nedeni ile hayatını kaybetti. İkinci hasta ameliyatının 12. günü normal nörolojik muayene ile taburcu edildi. TİF’nin oluşum mekanizmasında basınca bağlı nekroz önemli bir faktördür. Bu nedenle, predisposan faktörler ve önlem almak için tedbirli olmak gereklidir. Diğer yandan bu hastalar acil olarak cerrahiye alınmalıdır.

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Cite This Article

YALINIZ, H., TOKCAN, A., ULUS, T. (2009). Trakeo-innominat arter fistülü: İki olgu. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 15 - Sayı: 5, 505–508. https://ajindex.com/articles/324775

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References (18)

  1. Weissman BW. Tracheo-innominate artery fistula. Laryngoscope 1974;84:205-9
  2. Jones JW, Reynolds M, Hewitt RL, Drapanas T. Tracheoinnominate artery erosion: Successful surgical management of a devastating complication. Ann Surg 1976;184:194-204
  3. Bloss RS, Ward RE. Survival after tracheoinnominate artery fistula. Am J Surg 1980;139:251-3
  4. Allan JS, Wright CD. Tracheoinnominate fistula: diagnosis and management. Chest Surg Clin N Am 2003;13:331-41
  5. Adolfsson R, Winblad B, Ostberg Y. Survival after haemorrhage from the brachiocephalic truncus following tracheostomy. Acta Otolaryngol 1975;80:312-6
  6. LoCicero J 3rd. Tracheo-carotid artery erosion following endotracheal intubation. J Trauma 1984;24:907-9
  7. Cooper JD. Trachea-innominate artery fistula: successful management of 3 consecutive patients. Ann Thorac Surg 1977;24:439-47
  8. Kapural L, Sprung J, Gluncic I, Kapural M, Andelinovic S, Primorac D, et al. Tracheo-innominate artery fistula after tracheostomy. Anesth Analg 1999;88:777-80
  9. Tokcan A, Dikmengil M, Ulus T, Akçalı H. Trakeainnominat arter fistülü. Çukurova Üniversitesi Tıp Fakültesi Dergisi 1986;11:217-23
  10. Cokis C, Towler S. Tracheo-innominate fistula after initial percutaneous tracheostomy. Anaesth Intensive Care 2000;28:566-9
  11. Ambesh SP, Kumar V, Srivasava V. Tracheo-innominate artery fistula. Anesth Anal 2000;90:231-33
  12. Black MD, Shamji FM, Todd TR. Trachea-innominate artery fistula and concomitant critical cerebrovascular disease. Ann Thorac Surg 1996;62:286-8
  13. Hazarika P, Kamath SG, Balakrishnan R, Girish R, Harish K. Tracheo-innominate artery fistula: a rare complication in a laryngectomized patient. J Laryngol Otol 2002;116:562-4
  14. Deguchi J, Furuya T, Tanaka N, Nobori M, Seki Y, Nomura Y, et al. Successful management of tracheo-innominate artery fistula with endovascular stent graft repair. J Vasc Surg 2001;33:1280-2
  15. Perry RR, Knego RS, Pass HI. Trachea-innominate artery fistula. J Thorac Cardiovasc Surg 1988;96:184-5
  16. Utley JR, Singer MM, Roe BB, Fraser DG, Dedo HH. Definitive management of innominate artery hemorrhage complicating tracheostomy. JAMA 1972;220:577-9
  17. Yang FY, Criado E, Schwartz JA, Keagy BA, Wilcox BR. Trachea-innominate artery fistula: retrospective comparison of treatment methods. South Med J 1988;81:701-6
  18. Hsiao CW, Lee SC, Lee KC, Cheng YL, Tzao C. Tracheoinnominate artery fistula: successful surgical management of one case. Thorac Cardiovasc Surg 2002;50:249-50.