Tracheo-innominate artery fistula

A rare complication in a laryngectomized patient

Produl Hazarika, Ganesh Kamath, R. Balakrishnan, Raj Girish, Kundaje Harish G.

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

A tracheo-innominate artery fistula is an uncommon but frequently fatal complication of tracheostomy. Rarely, it can also occur in laryngectomized patients. We report a post-laryngectomy, post-radiotherapy patient using a metal tracheostomy tube, who developed a tracheo-innominate artery fistula about two months after radiotherapy. To our knowledge this is only the second reported case in a laryngectomized patient. The computed tomography (CT) angiography findings helped confirm the diagnosis and the patient was successfully managed by surgical exploration and ligation of the innominate artery. Coagulase negative Staphylococcus aureus was cultured from a tracheal swab. The clinical features, CT angiography findings, management protocols and possible aetiological factors are discussed.

Original languageEnglish
Pages (from-to)562-564
Number of pages3
JournalJournal of Laryngology and Otology
Volume116
Issue number7
DOIs
Publication statusPublished - 25-07-2002

Fingerprint

Brachiocephalic Trunk
Fistula
Tracheostomy
Radiotherapy
Laryngectomy
Coagulase
Ligation
Staphylococcus aureus
Metals
Computed Tomography Angiography

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

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abstract = "A tracheo-innominate artery fistula is an uncommon but frequently fatal complication of tracheostomy. Rarely, it can also occur in laryngectomized patients. We report a post-laryngectomy, post-radiotherapy patient using a metal tracheostomy tube, who developed a tracheo-innominate artery fistula about two months after radiotherapy. To our knowledge this is only the second reported case in a laryngectomized patient. The computed tomography (CT) angiography findings helped confirm the diagnosis and the patient was successfully managed by surgical exploration and ligation of the innominate artery. Coagulase negative Staphylococcus aureus was cultured from a tracheal swab. The clinical features, CT angiography findings, management protocols and possible aetiological factors are discussed.",
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Tracheo-innominate artery fistula : A rare complication in a laryngectomized patient. / Hazarika, Produl; Kamath, Ganesh; Balakrishnan, R.; Girish, Raj; Harish G., Kundaje.

In: Journal of Laryngology and Otology, Vol. 116, No. 7, 25.07.2002, p. 562-564.

Research output: Contribution to journalArticle

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