A Case of Delayed Tracheo-Innominate Artery Fistula after Tracheostomy

Keimyung Medical Journal 2004;23(2):122-128.

기관절개술 후 발생한 지연성기관무명동맥루 1례

남성일; 송달원

Abstract

Tracheoinnominate artery fistula (TIF) is a rare in otolaryngology department; but highly fatal complication of tracheostomy. When massive hemorrhage begins from TIF; bedside control of hemorrhage by cuff overinflation or by digital arterial compression can be lifesaving. Authors experienced a patient who developed a small amount of bleeding around the tracheotomy tube one year and 5 months after tracheotomy. On exploratory neck examination; the thyroid and bleeding around the tube stopped but one day after the neck examination; patient had massive bleeding and underwent angiogram of which result confirmed the diagnosis with reacheo-innominate artery fistula.

Key Words: Fistula, Hemorrhage, Tracheostomy