Tracheo-innominate Artery Fistula due to Long-term Placement of a Tracheo-stomy Tube

Abstract

A 3-year-old boy in whom early myoclonic epileptic encephalopathy was diagnosed underwent tracheostomy. Three years and ten months later, bleeding through the tracheostomy tube suddenly appeared. Based on postcontrast chest CT findings, he underwent an emergency operation for tracheo-innominate artery fistula. The fistula between the trachea and the right brachiocephalic trunk was closed with interrupted sutures, and the thymus was interposed between these two structures. He had a satisfactory postoperative course.