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[One case report of tracheo-innominate artery fistula responsible of massive haemoptysis in a tracheotomized patient: which strategy to adopt?].

作者信息

Lacroix G, Meaudre E, Prunet B, Bordes J, Allanic L, Kaiser E

机构信息

Département d'anesthésie-réanimation-urgences, hôpital d'instruction des Armées-Sainte-Anne, boulevard Sainte-Anne, 83000 Toulon, France.

出版信息

Ann Fr Anesth Reanim. 2009 Nov;28(11):980-2. doi: 10.1016/j.annfar.2009.10.010. Epub 2009 Nov 24.

Abstract

The tracheo-innominate artery fistula is a rare but life-threatening complication of the tracheotomy. Its care management requires a rapid airway control to allow haemostasis by compression and ventilation. The haemostasis must be immediate and two techniques exist: surgery opencast (sternotomy) or interventional radiology. The choice between the two depends largely on the technical platform available. Our case report describes a tracheo-innomninate artery fistula surgically managed with success. The patient carried an anatomic variant, the two carotids come from innominate artery.

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