Successful repair using innominate vein flap, pericardial flap and thymus pedicle flap for tracheo-innominate artery fistula

Makoto Tomoyasu, Tatsuo Tanita, Takayuki Nakajima, Hiroyuki Deguchi, Junichi Koizumi, Kei Horie, Tomoki Nagumo, Hideyuki Sasaki, Masaru Mizuno, Kouhei Kawazoe

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

Tracheo-innominate artery fistula (TIF) is a rare but frequently fatal complication after tracheostomy. Without operation, the mortality is nearly 100% because of acute massive tracheal hemorrhage. Although the survival rate is extremely low, survival is possible only when an immediate operation is performed. Many surgeons have chosen ligation or resection of the innominate artery because repair with blood flow maintained in the innominate artery carries a high risk of postoperative fatal recurrent bleeding. We report on a successful surgical management of one case by patch closure with an innominate vein flap, wrapping of the innominate artery with a pericardial flap, and interposition of a thymus pedicle flap between the innominate artery and the trachea. Our surgical procedure is effective in maintaining the patency of the innominate artery preventing neurological deficits, and in preventing postoperative recurrent bleeding.

Original languageEnglish
Pages (from-to)143-146
Number of pages4
JournalAnnals of Thoracic and Cardiovascular Surgery
Volume13
Issue number2
Publication statusPublished - 2007 Apr 1
Externally publishedYes

Keywords

  • Innominate vein flap
  • Pericardial flap
  • Thymus pedicle flap
  • Tracheo-innominate artery fistula

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Gastroenterology

Fingerprint Dive into the research topics of 'Successful repair using innominate vein flap, pericardial flap and thymus pedicle flap for tracheo-innominate artery fistula'. Together they form a unique fingerprint.

Cite this