jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
Case Report
A case of bleeding of a tracheoinnominate artery fistula after laryngotracheal separation
Takahiro WAKIZONOKazuo ADACHIYoshikazu KIKUCHIToshirou UMEZAKITakashi NAKAGAWA
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2017 Volume 63 Issue 1 Pages 20-24

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Abstract

We managed to cure a 42-year-old man with a tracheoinnominate artery fistula after laryngotracheal separation. He was a brain paralysis patient who had repeatedly contracted pneumonia and underwent laryngotracheal separation two years prior. Bleeding from a tracheoinnominate artery fistula occurred suddenly during exchange of a tracheal cannula. The patient was treated by stenting of the subclavian and innominate arteries under fluoroscopic guidance with carotid-subclavian bypass to recover the right cervical blood flow. To maintain good airflow, we inserted an Ajustfit® cannula for tracheomalacia.

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© 2017 JIBI TO RINSHO KAI
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