Successful management of tracheoinnominate artery fistula using a split pectoralis muscle flap with anatomical reconstruction by a synthetic graft

Abstract

We report the successful repair for tracheoinnominate fistula, in which the innominate artery was interposed with a synthetic graft and the pectoralis muscle was used as a seal against infection. We know of 10 other reported cases.

Successful Treatment of Tracheoinnominate Artery Fistula Following Tracheostomy in a Patient with Cerebrovascular Disease

“…Early diagnosis is the most important factor for successful management of a TIAF. Bronchoscopy, arteriography, and CT angiography with 3D reconstruction can be helpful in diagnosing TIAF, but these studies often fail to confirm the diagnosis due to their low sensitivity (20% to 30%)8). During the acute bleeding period, bronchoscopic examination is very difficult as the entire tracheal tree is filled with blood12).…”

Tratamento endovascular de fístula tronco arterial braquiocefálico-traqueal: relato de caso e revisão de literatura

“…However, in certain situations they may be inconclusive because of obstruction by clots and adjacent structures masking the bleeding. 2 In the majority of cases, bleeding is controlled with clinical measures such as volume resuscitation, suspension of anticoagulants, and platelet antiaggregants, and transfusion of blood products. A TIF can also be sealed off by positioning the cannula and inflating a cuff.…”