Stent graft placement for a tracheoinnominate artery fistula.
Ann Vasc Surg
; 28(4): 1037.e21-4, 2014 May.
Article
in En
| MEDLINE
| ID: mdl-24333524
A 68-year-old woman with ventilator-dependent respiratory failure and multiple comorbidities developed acute massive hemoptysis. Computed tomographic angiogram revealed a 3.9-cm pseudoaneurysm arising from the innominate artery abutting the trachea. The patient was successfully treated with stent graft insertion via the right common carotid artery, with exclusion of the aneurysm from the proximal innominate to the right common carotid artery, with ligation of the proximal right subclavian artery and right common carotid to subclavian artery bypass. The patient remained medically stable for 3 months after the procedure with no evidence of endoleak or infection. She then developed recurrent hemoptysis with fatal cardiac arrest. Open surgical repair has been the treatment of choice for tracheoinnominate artery fistula. However, direct repair confers a high mortality risk. Endovascular exclusion offers a less invasive treatment option for tracheoinnominate artery fistula and can serve as a bridge for patients with potential for becoming better surgical candidates.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Tracheal Diseases
/
Tracheostomy
/
Brachiocephalic Trunk
/
Respiratory Tract Fistula
/
Vascular Fistula
/
Aneurysm, False
/
Blood Vessel Prosthesis Implantation
/
Endovascular Procedures
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
Ann Vasc Surg
Journal subject:
ANGIOLOGIA
Year:
2014
Document type:
Article
Country of publication:
Netherlands