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KMID : 1037620150020020089
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Pediatric Emergency Medicine Journal
2015 Volume.2 No. 2 p.89 ~ p.92
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A tracheoinnominate artery fistula presenting with massive hemorrhage in a 13-year-old boy
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Kim Jung-Heon
Lee Jeong-Yong
Cho Hyung-Rae
Lee Jong-Seung
Ryu Jeong-Min
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Abstract
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Despite its rarity, a tracheoinnominate artery fistula can result in catastrophic hemorrhage. Here, we describe a case of a 13- year-old boy with such a condition following tracheostomy. After identification of pulsatile bleeding from the tracheostoma, temporary control of hemorrhage was obtained using hyperinflation of the tracheostomy tube cuff. Subsequently, a lesion indicative of a tracheoinnominate artery fistula was found on a computed tomography scan, and the diagnosis was confirmed at surgery. After surgery, he was discharged with no recurrent bleeding. This case highlights the importance of high suspicion and prompt management of tracheoinnominate artery fistula.
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KEYWORD
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Tracheostomy, Brachiocephalic Trunk, Fistula, Hemorrhage, Child
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