Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Tracheoplasty with using the Costal Cartilage, Including the Perichondrium, for Treating a Tracheoinnominate Artery Fistula - Surgical experience of one case -

기관절개술 후 발생한 기관무명동맥루에서 연골막를 포함한 늑연골을 이용한 기관성형술 - 수술치험 1예 -

  • Cho, Seong-Ho (Department of Thoracic and Cardiovascular Surgery, Kosin University College of Medicine) ;
  • Kae, Yoe-Kon (Department of Thoracic and Cardiovascular Surgery, Kosin University College of Medicine) ;
  • Kim, Jong-In (Department of Thoracic and Cardiovascular Surgery, Kosin University College of Medicine) ;
  • Cho, Sung-Rae (Department of Thoracic and Cardiovascular Surgery, Kosin University College of Medicine)
  • 조성호 (고신대학교 의과대학 흉부외과학교실) ;
  • 계여곤 (고신대학교 의과대학 흉부외과학교실) ;
  • 김종인 (고신대학교 의과대학 흉부외과학교실) ;
  • 조성래 (고신대학교 의과대학 흉부외과학교실)
  • Published : 2007.09.05
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Abstract

Tracheoinnominate artery fistula (TIF) is a very rare complication that can happen after long standing tracheostomy or insertion of an endotracheal tube and its mortality is very high. This condition requires early diagnosis and urgent management because of the life threatening results from tracheal obstruction or hypovolemic shock that is caused by massive bleeding. We report here on a case of successful tracheoplasty with using the costal cartilage, including the perichondrium, in a patient with laryngeal stricture, and this was done to preserve the trachea for the following operation to relieve the laryngeal stricture.

기관무명동맥루는 매우 드물지만 높은 사망률을 보이는 질환으로, 장기간의 기관절개술이나 기관내 삽관후 합병증으로 발생한다. 대량 출혈로 인해 기도폐쇄 및 출혈성 쇼크로 생명의 위협이 초래되기 때문에 조기 진단과 즉각적인 치료가 반드시 필요하다. 후두 협착에 대한 수술을 위해 가능한 한 기관의 보존이 필요한 환자에 발생한 기관무명동맥루 환자에서 연골막을 포함한 늑연골을 이용한 기관성형술을 시행하였기에 보고하는 바이다.

Keywords

References

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