Korean J Pediatr.  2016 Nov;59(Suppl 1):S76-S79. 10.3345/kjp.2016.59.11.S76.

Endovascular stenting of tracheoinnominate fistula after tracheostomy in a 14-year-old boy

Affiliations
  • 1Department of Pediatrics, Pusan National University Children's Hospital, Pusan National University School of Medicine, Busan, Korea.
  • 2Department of Pediatrics, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea. pink2129@naver.com
  • 3Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.

Abstract

Tracheoinnominate artery fistula is a rare, fatal complication of tracheostomy, and prompt diagnosis and management are imperative. We report the case of tracheoinnominate artery fistula after tracheostomy in a 14-year-old boy with a history of severe periventricular leukomalacia, hydrocephalus, cerebral palsy, and epilepsy. The tracheoinnominate artery fistula was successfully treated with a stent graft insertion via the right common femoral artery. Endovascular repair of the tracheoinnominate artery fistula via stent grafting is a safe, effective, and minimally invasive treatment for patients in poor clinical conditions and is an alternative to traditional open surgical treatment.

Keyword

Innominate artery; Fistula; Tracheostomy; Stents; Angioplasty

MeSH Terms

Adolescent*
Angioplasty
Arteries
Blood Vessel Prosthesis
Brachiocephalic Trunk
Cerebral Palsy
Diagnosis
Epilepsy
Femoral Artery
Fistula*
Humans
Hydrocephalus
Infant, Newborn
Leukomalacia, Periventricular
Male*
Stents*
Tracheostomy*
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