ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Tracheoinnominate artery fistula in a pediatric patient with idiopathic scoliosis
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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