Download PDF
CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2018; 02(02): 106-109
DOI: 10.1055/s-0038-1666887
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Endovascular Stent Graft Exclusion of an Iatrogenic Tracheoinnominate Fistula after Unsuccessful Surgical Repair

Andrew Woerner
1   Loyola University Chicago Stritch School of Medicine, Chicago, Illinois, United States
,
Kevin S. H. Koo
2   Department of Radiology, Section of Interventional Radiology, Seattle Children's Hospital and University of Washington, Seattle, Washington, United States
,
Eric J. Monroe
2   Department of Radiology, Section of Interventional Radiology, Seattle Children's Hospital and University of Washington, Seattle, Washington, United States
› Author Affiliations
Further Information

Publication History

Received: 09 September 2017

Accepted: 01 February 2018

Publication Date:
28 June 2018 (online)

   Permissions and Reprints

Abstract

A 10-year-old girl with metachromatic leukodystrophy developed a tracheoinnominate artery fistula and massive hemoptysis following tracheostomy, initially requiring open surgical repair. Massive hemoptysis recurred at 1 month due to suspected pericardial patch dehiscence. The authors herein describe the subsequent emergent treatment by stent graft exclusion and review the existing literature surrounding this rare and potentially fatal condition.

Keywords

pseudoaneurysm - innominate artery - stent
 

  • References

  • 1 Sorial E, Valentino J, Given CA, Endean ED, Minion DJ. The emergency use of endografts in the carotid circulation to control hemorrhage in potentially contaminated fields. J Vasc Surg 2007; 46 (04) 792-798
    CrossrefPubMedGoogle Scholar
  • 2 Brewster DC, Moncure AC, Darling RC, Ambrosino JJ, Abbott WM. Innominate artery lesions: problems encountered and lessons learned. J Vasc Surg 1985; 2 (01) 99-112
    CrossrefPubMedGoogle Scholar
  • 3 Goldenberg D, Ari EG, Golz A, Danino J, Netzer A, Joachims HZ. Tracheotomy complications: a retrospective study of 1130 cases. Otolaryngol Head Neck Surg 2000; 123 (04) 495-500
    CrossrefPubMedGoogle Scholar
  • 4 Takasaki K, Enatsu K, Nakayama M, Uchida T, Takahashi H. A case with tracheoinnominate artery fistula. Successful management of endovascular embolization of innominate artery. Auris Nasus Larynx 2005; 32 (02) 195-198
    CrossrefPubMedGoogle Scholar
  • 5 Vianello A, Ragazzi R, Mirri L, Arcaro G, Cutrone C, Fittà C. Tracheoinnominate fistula in a Duchenne muscular dystrophy patient: successful management with an endovascular stent. Neuromuscul Disord 2005; 15 (08) 569-571
    CrossrefPubMedGoogle Scholar
  • 6 Joshi AS, Tanna N, Elmaraghy CA. et al. Nonsurgical treatment of tracheoinnominate fistula in the pediatric population. Arch Otolaryngol Head Neck Surg 2007; 133 (03) 294-296
    CrossrefPubMedGoogle Scholar
  • 7 Cavalcante RN, Motta-Leal-Filho JM, Maciel MJS, Carnevale FC. Tracheoinnominate fistula: endovascular treatment with a stent graft in a 4-year-old child. Ann Vasc Surg 2016; 31: 206.e9-206.e12
    CrossrefPubMedGoogle Scholar
  • 8 Bae MH, Lee YJ, Nam SO, Kim HY, Kim CW, Kim YM. Endovascular stenting of tracheoinnominate fistula after tracheostomy in a 14-year-old boy. Korean J Pediatr 2016; 59 (Suppl. 01) S76-S79
    CrossrefPubMedGoogle Scholar