2017 Volume 63 Issue 1 Pages 20-24
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.