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Eur J Cardiothorac Surg 2007;32:676-678. doi:10.1016/j.ejcts.2007.06.040
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case reports

Tracheoesophageal fistula and tracheo-subclavian artery fistula after tracheostomy

Jung-Jyh Hunga, Han-Shui Hsua, Chien-Sheng Huanga, Kuang-Yao Yangb,*

a Division of Thoracic Surgery, Department of Surgery, and School of Medicine, National Yang-Ming University, Taipei, Taiwan
b Chest Department, Taipei Veterans General Hospital, and School of Medicine, National Yang-Ming University, Taipei, Taiwan

Received 23 February 2007; received in revised form 21 June 2007; accepted 26 June 2007.

* Corresponding author. Address: Chest Department, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei 112, Taiwan. Tel.: +886 2 2871 2121x3090; fax: +886 2 2875 2380. (Email: kyyang{at}vghtpe.gov.tw).

Tracheoesophageal fistula and tracheo-arterial fistula are both uncommon but life-threatening complications after a tracheostomy. The most common source of a major hemorrhage is from the tracheo-innominate artery fistula. Most tracheo-arterial fistulas occur within the first 3 weeks after tracheostomy. We describe a very rare case of a patient who developed both a tracheoesophageal fistula and massive hemorrhage from a tracheo-left subclavian artery fistula 4 months after a tracheostomy procedure.

Key Words: Tracheoesophageal fistula • Tracheo-arterial fistula • Tracheostomy






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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.