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Korean J Pediatr. 2016 Nov;59(Suppl 1):S76-S79. doi: 10.3345/kjp.2016.59.11.S76. Epub 2016 Nov 30.

Endovascular stenting of tracheoinnominate fistula after tracheostomy in a 14-year-old boy.

Author information

1
Department of Pediatrics, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea.
2
Department of Pediatrics, Pusan National University Children's Hospital, Pusan National University School of Medicine, Busan, Korea.
3
Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.

Abstract

Tracheoinnominate artery fistula is a rare, fatal complication of tracheostomy, and prompt diagnosis and management are imperative. We report the case of tracheoinnominate artery fistula after tracheostomy in a 14-year-old boy with a history of severe periventricular leukomalacia, hydrocephalus, cerebral palsy, and epilepsy. The tracheoinnominate artery fistula was successfully treated with a stent graft insertion via the right common femoral artery. Endovascular repair of the tracheoinnominate artery fistula via stent grafting is a safe, effective, and minimally invasive treatment for patients in poor clinical conditions and is an alternative to traditional open surgical treatment.

KEYWORDS:

Angioplasty; Fistula; Innominate artery; Stents; Tracheostomy

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

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