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Successful management of tracheo-innominate artery fistula using interposition of a thymus pedicle flap

Published online by Cambridge University Press:  29 June 2007

Ryoichi Nakanishi*
Affiliation:
Second Department of Surgery, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku 807., Japan.
Akira Shimazu
Affiliation:
Second Department of Surgery, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku 807., Japan.
Tetsuya Mitsudomi
Affiliation:
Second Department of Surgery, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku 807., Japan.
Takehiro Masuda
Affiliation:
Second Department of Surgery, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku 807., Japan.
Toshihiro Osaki
Affiliation:
Second Department of Surgery, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku 807., Japan.
Shutaro Onimura
Affiliation:
Second Department of Surgery, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku 807., Japan.
Akio Shigematsu
Affiliation:
Department of Anaesthesiology, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku 807., Japan.
Takeyoshi Sata
Affiliation:
Department of Anaesthesiology, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku 807., Japan.
Hajime Urano
Affiliation:
Department of Paediatrics, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku 807., Japan.
Kosei Yasumoto
Affiliation:
Second Department of Surgery, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku 807., Japan.
*
Address for correspondence: Dr Ryoichi Nakanishi, The second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807, Japan. Fax: 81-93-602-5482

Abstract

Tracheo-innominate artery fistual is usually fatal complication of tracheostomy. The trachea and innominate artery were successfully reconstructed in an 11-year-old girl who presented with this complication. The thymus was interposed betweenn these two structres in order to prevent further long-term complications.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1995

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References

Cardarell, N. F. (1988) The thymus in health and senescence, vol. 2, Aqinq and endocrinology, CRC Press Inc., Boca Raton, Florida, pp 277309.Google Scholar
Cooper, J. D. (1977) Trachea-innominate artery fistula: successful management of 3 consecutive patients. Annals of Thoracic Surgery 24: 439447.CrossRefGoogle ScholarPubMed
Jones, J. W., Reynolds, M, Hewitt, R. L., Drapanas, T. (1976) Tracheo-innominate artery erosion: successful surgical management of a devastating complication. Annals of Surgery 184: 194204.CrossRefGoogle ScholarPubMed
Lane, E. E., Temes, G. D., Anderson, W. H. (1975) Trachealinnominate artery fistula due to tracheostomy. Chest 68: 678683.CrossRefGoogle Scholar
Locicero, J. X, Michaelis, L. L. (1990) Interposition of the thymus as a pedicled flap in tracheal reconstructive surgery. Journal of Trauma 30: 741744.Google Scholar
Nelems, J. M. B. (1981) Tracheo-innominate artery fistula. American Journal of Surgery 141: 526527.CrossRefGoogle ScholarPubMed
Takano, H., Ihara, K., Sato, S., Yuki, K., Kodama, Y., Nakata, M. (1989) Tracheo-innominate artery fistula following tracheostomy: successful surgical management of a case. Journal of Cardiovascular Surgery 30: 860863.Google Scholar