ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
A life-saving approach to trachea-innominate artery fistula: endovascular stent
Hakan Korkmaz, Utku Mahir Yıldırım, Yusuf Dündar, Emel Çadallı Tatar, Güleser Saylam, Ali Özdek
Department of Otolaryngology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
1Department of Otolaryngology, Medical Faculty of Yıldırım Beyazıt University, Ankara, Turkey
2Departments of Radiology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
3Departments of Otolaryngology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
4Department of Otolaryngology, Medical Faculty of Karabük University, Karabük, Turkey
DOI : 10.5606/tgkdc.dergisi.2014.6823
Tracheo-innominate artery fistula is a devastating complication of tracheal operations. It is most commonly seen after tracheotomy and mostly in the postoperative 7th to 14th days. Despite all radical therapeutic interventions, survival rate of this emergency condition is very poor. In this article, we report a 24-year-old male case with trachea-innominate artery fistula after endotracheal titanium stent removal. This complication was successfully managed with an endovascular stent. Sternotomy and innominate artery ligation is the main emergency procedure, however, endovascular stent deployment can be an alternative procedure in hemodynamically stable patients with better results.
Keywords : Endotracheal stent; endovascular stent; innominate artery ligation; tracheo-innominate artery fistula; tracheotomy
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