Tracheo-innominate artery fistula: a rare complication in a laryngectomized patient

Hazarika, Produl and Ganesh Kamath, S and Balakrishnan, R and Girish, Raj and Kundaje, Harish (2002) Tracheo-innominate artery fistula: a rare complication in a laryngectomized patient. The Journal of Laryngology & Otology, 116. pp. 562-564.

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A tracheo-innominate artery �stula is an uncommon but frequently fatal complication of tracheostomy. Rarely, it can also occur in laryngectomized patients. We report a post-laryngectomy, post-radiotherapy patient using a metal tracheostomy tube, who developed a tracheo-innominate artery �stula about two months after radiotherapy. To our knowledge this is only the second reported case in a laryngectomized patient. The computed tomography (CT) angiography �ndings helped con�rm the diagnosis and the patient was successfully managed by surgical exploration and ligation of the innominate artery. Coagulase negative Staphylococcus aureus was cultured from a tracheal swab. The clinical features, CT angiography �ndings, management protocols and possible aetiological factors are discussed.

Item Type: Article
Uncontrolled Keywords: Brachiocephalic Trunk; Fistula; Laryngectomy complications
Subjects: Medicine > KMC Manipal > Cardiovascular & Thoracic Surgery
Medicine > KMC Manipal > ENT
Depositing User: KMC Manipal
Date Deposited: 02 Jul 2011 10:54
Last Modified: 02 Jul 2011 10:54

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