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European Journal of Cardio-Thoracic Surgery, Vol 7, 615-616, Copyright © 1993 by European Association for Cardio-thoracic Surgery

ARTICLES

Successful management of a tracheo-innominate artery fistula following placement of a wire self-expandable tracheal Gianturco stent

J Alfaro, G Varela, E De-Miguel and JL Martin de Nicolas
Department of Pneumology, Doce de Octubre Hospital, Madrid, Spain.

The authors report a case of tracheo-innominate artery fistula secondary to tracheal perforation in an 18-year-old patient who is tetraplegic following cervical trauma. The patient had a very long tracheal stenosis, secondary to tracheostomy, which was managed by laser resection and a Gianturco stent. One of the anterior struts of the stent had eroded the trachea and the posterior wall of the innominate artery. Surgical management consisted of arterial resection, a longitudinal tracheal split incision to withdraw the stent and placement of a Montgomery T-tube. The patient has no respiratory discomfort 7 months after surgery.


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Copyright © 1993 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.