Tracheoinnominate artery fistula in a pediatric patient with idiopathic scoliosis

Burak Onan; Barış Çaynak; Emine Oklu; İsmihan Selen Onan; Belhhan Akpınar

doi:10.5606/tgkdc.dergisi.2012.116

Burak Onan¹, Barış Çaynak¹, Emine Oklu², İsmihan Selen Onan¹, Belhhan Akpınar¹

¹Departments of Cardiovascular Surgery, Florence Nightingale Hospital, İstanbul, Turkey
²Departments of Anaesthesiology and Reanimation, Florence Nightingale Hospital, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2012.116

Tracheoinnominate arterial fistula (TIF) is a life-threatening complication which occurs after a tracheostomy. While the anatomical relationship between the trachea and the innominate artery is an important predisposing factor in patients with prolonged ventilation, spinal deformities causing displacement of the intrathoracic arterial structures facilitate development of this rare pathology. Particularly for patients undergoing corrective surgery for spinal deformity, increased aortic displacement following orthopedic surgery may lead to the occurrence of this potential morbidity. In this article, we report a 14-year-old girl who developed TIF after a tracheostomy during the postoperative period of an orthopedic operation for idiopathic scoliosis and underwent an emergent intervention through a partial sternotomy.

Keywords : Childhood; scoliosis; tracheoinnominate artery fistula

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