A Case of Tracheo-innominate Artery Fistula Due to Long Term Placement of a Tracheostomy Tube.

2002 ◽  
Vol 53 (6) ◽  
pp. 484-488
Author(s):  
Tetsuya Shimomugi ◽  
Kengo Nishimoto ◽  
Kouji Deguchi ◽  
Syoji Matsune ◽  
Yoshifumi Iguro ◽  
...  
1995 ◽  
Vol 23 (Supplement) ◽  
pp. A118
Author(s):  
Arthur Graves ◽  
Mark Scott ◽  
Gary Sporn ◽  
Mark Rumbak ◽  
Frank Walsh ◽  
...  

2021 ◽  
Vol 8 ◽  
Author(s):  
Juntao Qiu ◽  
Xinjin Luo ◽  
Jinlin Wu ◽  
Wei Pan ◽  
Qian Chang ◽  
...  

Aims: We describe a new aortic arch dissection (AcD) classification, which we have called the Fuwai classification. We then compare the clinical characteristics and long-term prognoses of different classifications.Methods: All AcD patients who underwent surgical procedures at Fuwai Hospital from 2010 to 2015 were included in the study. AcD procedures are divided into three types: Fuwai type Cp, Ct, and Cd. Type Cp is defined as the innominate artery or combined with the left carotid artery involved. Type Cd is defined as the left subclavian artery or combined with the left carotid artery involved. All other AcD surgeries are defined as type Ct. The Chi-square test was adopted for the pairwise comparison among the three types. Kaplan-Meier was used for the analysis of long-term survival and survival free of reoperation.Results: In total, 1,063 AcD patients were enrolled from 2010 to 2015: 54 patients were type Cp, 832 were type Ct, and 177 were type Cd. The highest operation proportion of Cp, Ct and Cd were partial arch replacement, total arch replacement, and TEVAR. The surgical mortality in type Ct was higher compared to type Cd (Ct vs. Cd = 9.38 vs. 1.69%, p < 0.01) and type Cp (Ct vs. Cp = 9.38 vs. 1.85%, p = 0.06). There was no difference in surgical mortality of type Cp and Cd (p = 0.93). There were no significant differences in the long-term survival rates (p = 0.38) and free of aorta-related re-operations (p = 0.19).Conclusion: The Fuwai classification is used to distinguish different AcDs. Different AcDs have different surgical mortality and use different operation methods, but they have similar long-term results.


1991 ◽  
Vol 14 (3) ◽  
pp. 405-412 ◽  
Author(s):  
Gordon L. Hyde ◽  
George J. Reul ◽  
Michael J. H. M. Jacobs ◽  
Igor D. Gregoric ◽  
Moises D. Calderon ◽  
...  

2018 ◽  
Vol 08 (02) ◽  
pp. 096-099
Author(s):  
Jigar Chauhan ◽  
James Hertzog ◽  
Shirley Viteri ◽  
Nicholas Slamon

AbstractWe report a fatal tracheoinnominate artery fistula (TIF) in a 13-year-old female patient with long-term tracheostomy tube dependence due to chronic respiratory failure. Thirteen years after placement of her tracheostomy tube, the patient experienced two separate episodes of sentinel bleeding prior to a fatal hemorrhagic event. Diagnostic evaluation after the sentinel events was mostly nonconclusive. This case highlights the risk of TIF in pediatric age group, even years after initial tracheostomy tube placement, and the need for a high index of suspicion for TIF when children present with unexplained tracheal bleeding.


2009 ◽  
Vol 135 (1) ◽  
pp. 80 ◽  
Author(s):  
J. Fredrik Grimmer ◽  
Seth Herway ◽  
John A. Hawkins ◽  
Albert H. Park ◽  
Peter C. Kouretas

2006 ◽  
Vol 67 (4) ◽  
pp. 519-526 ◽  
Author(s):  
Tadeusz Przewlocki ◽  
Anna Kablak-Ziembicka ◽  
Piotr Pieniazek ◽  
Piotr Musialek ◽  
Andrzej Kadzielski ◽  
...  

1999 ◽  
Vol 37 (5) ◽  
pp. 955
Author(s):  
Mi Ja Youn ◽  
Seok Kon Kim ◽  
Gwan Woo Lee
Keyword(s):  

2017 ◽  
Vol 25 (2) ◽  
pp. 107-110
Author(s):  
Sanu P Moideen ◽  
G Arun ◽  
M Mohan ◽  
Khizer Hussain Afroze

Introduction Approximately 20% of patients with tracheostomy are discharged from hospital with the tracheostomy  tube in situ. Proper long term care and management of such tracheostomy patients remains as a challenge to care givers. Fracture of metallic tracheostomy tube (TT) with aspiration of the fragment into tracheobronchial airway is a rare complication of  tracheostomy. Case Report Here we are presenting a case of a 42-year-old male patient, presented to the emergency department with complaint of mild respiratory distress following aspiration of fractured metallic TT and a novel method in removing the dislodged fragment. Discussion A detailed review of literature has been included to discuss different aspects of aspiration of fractured fragment of tracheostomy tube and best practice recommendations for proper tracheostomy care. Conclusion Educating the care-giver about care of the tracheostomized patient in general and care of the tracheostomy tube in particular, may help reduce accidental complications.


1967 ◽  
Vol 53 (6) ◽  
pp. 575-580 ◽  
Author(s):  
Roberto Molinari ◽  
Benito Rucco

In previous investigations the authors have reported a high incidence of recurrences at the level of tracheostoma in patients subjected to total laryngectomy for carcinoma, when the tracheostomy tube was left in place for a long period of time. The present report deals with a large number of cases collected from the National Cancer Institute of Milan and from the Otolaryngology Clinic, University of Milan. A total of 1842 total laryngectomies has been evaluated: stomal recurrences were observed in 63 cases (3.42%). In particular, 18 recurrences occurred among 1578 patients who did not undergo preoperative tracheostomy (1.14 %) and 45 recurrences among 205 patients after long-term use of a tracheostomy tube (21.9%). The lower was the endolaryngeal level of primary carcinoma, the higher was the incidence of recurrence. The length of interval between tracheostomy and laryngectomy influences proportionally the frequency of recurrences (from 16 % for an interval of 10–20 days, to 32 % for an interval higher than 50 days). Although a preoperative thacheostomy may slightly reduce the incidence of mortality due to pulmonary complications, the use of long-term tracheostomy tube is not advisable since it can increase the mortality for recurrent carcinoma of at least 20%.


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