Successful management of a tracheo-innominate artery fistula following placement of a wire self-expandable tracheal Gianturco stent
- 1 January 1993
- journal article
- case report
- Published by Oxford University Press (OUP) in European Journal of Cardio-Thoracic Surgery
- Vol. 7 (11) , 615-616
- https://doi.org/10.1016/1010-7940(93)90250-f
Abstract
The authors report a case of tracheo-innominate artery fistula secondaryto tracheal perforation in an 18-year-old patient who is tetraplegicfollowing cervical trauma. The patient had a very long tracheal stenosis,secondary to tracheostomy, which was managed by laser resection and aGianturco stent. One of the anterior struts of the stent had eroded thetrachea and the posterior wall of the innominate artery. Surgicalmanagement consisted of arterial resection, a longitudinal tracheal splitincision to withdraw the stent and placement of a Montgomery T-tube. Thepatient has no respiratory discomfort 7 months after surgery.Keywords
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