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

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
• 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
• 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
• 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
• 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
• 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
• 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
• 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