• Clinical and Experimental Pediatrics
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• 제59권sup1호
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• pp.76-79
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• 2016

Tracheoinnominate artery fistula is a rare, fatal complication of tracheostomy, and prompt diagnosis and management are imperative. We report the case of tracheoinnominate artery fistula after tracheostomy in a 14-year-old boy with a history of severe periventricular leukomalacia, hydrocephalus, cerebral palsy, and epilepsy. The tracheoinnominate artery fistula was successfully treated with a stent graft insertion via the right common femoral artery. Endovascular repair of the tracheoinnominate artery fistula via stent grafting is a safe, effective, and minimally invasive treatment for patients in poor clinical conditions and is an alternative to traditional open surgical treatment.

• Journal of Korean Neurosurgical Society
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• 제52권6호
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• pp.547-550
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• 2012

Tracheoinnominate artery fistula is a critical complication of tracheostomy. The most important factors influencing patient outcome are prompt diagnosis, immediate control of bleeding with a patent airway, and emergency operation with or without interruption of the innominate artery. Here, we report a case of tracheoinnominate artery fistula in a 40-year-old woman with cerebrovascular accident who was successfully managed with an aorta-axillary artery bypass.

• 대한기관식도과학회지
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• 제8권1호
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• pp.57-60
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• 2002

Tracheoinnominate artery fistula is a rare but a catastrophic complication after tracheostomy or tracheal reconstruction. We experienced two cases of tracheoinnominate artery fistula after tracheal reconstruction and tracheostomy. The first patient was a 11 year old girl with cerebral arteriovenous malformation who maintained tracheostomy for 6 months before undergoing tracheal reconstruction. Three days after tracheal reconstruction, massive bleeding occurred through the intubation tube. She underwent emergency reoperation of repair the innominate artery with 5-0 Prolene and reconstruction of trachea. She died of bleeding 3 days after the reoperation. The second patient was a 68 year old man who underwent right upper lobectomy due to lung cancer. After operarion MRSA Pneumonia was developed and tracheostomy was performed 10 days after intubation. Twelve days after tracheostomy, massive bleeding occurred and emergency operation of ligation of innominate artery was performed. He died of sepsis 7 days after reoperation.

• Journal of Chest Surgery
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• 제31권5호
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• pp.536-539
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• 1998

기관무명동맥루는 기관절개술후 드믈게 발생하는 합병증으로 사망률이 높은 질환이며, 치료는 신속한 외과적 처치가 관건이 된다. 환자는 과거력상 30년전에 폐결핵으로 좌측전폐절제술을 시행받았으며 그 동안 경과 양호하였으나 최근 2개월간 급성호흡부전으로 기관절개술을 시행받고 호전되어 11 mm 실리콘 Montgomery T-tube로 교환 후, 3일째 발생한 기관무명동맥루에 의한 절개창주위의 다량의 출혈과 기도폐쇄에 의한 심정지를 일으켰다. 기관무명동맥루에서 Utley maneuver와 무명동맥을 절단봉합하여 지혈에 성공하였고, 이에 지혈방법, 수술수기에 관하여 보고하는 바이다.

• Journal of Chest Surgery
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• 제29권11호
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• pp.1288-1291
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• 1996

기관 무명동맥루는 매우 드문 질환이지만 일단 발생하면 예후가 아주 불량하며 치명적일 수 있다. 본 인제대학교 상계백병원 흉부외과학 교실에서는 한 명의 환자에서 기관 절개술 후 합병된 기관 협착증에 대한 기관 재건술 후 기관 무명동맥루가 발생하였다. 본 례는 11세의 소녀로 뇌동정맥 기형으로 뇌실외 유출로 조성술 및 4회에 걸친 신경외과적 수술을 받은 환자로서 6개월 전에 기관 절개술을 받았다. 이기관 절개술 후 5개월 후부터 호홉 곤란과 발작성 기침을 호소하여 기관 협착증으로 진단받고 본과로 전과되어 기관 협착 부위의 절제 및 단단 문합으로 기관 재건술을 시행하였다. 기관 재건술 후 3일째 다량의 출혈이 발생하여 기관 무명동맥루로 진단하였고 무명 동맥의 파열 부위의 봉합 및 기관의 재 재건술로 응급수술을 시행하였으나 재 수술후 3일째 재 출혈로 사망하였다.

• Journal of Korean Neurosurgical Society
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• 제49권2호
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• pp.107-111
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• 2011

Objective : The aim of this study was to evaluate the utility of volume-rendered helical computerized tomography (CT) angiography focusing tracheostomy tube and innominate artery for prevention of tracheoinnominate artery fistula. Methods : The authors retrospectively analyzed 22 patients with tracheostomy who had checked CT angiography. To evaluate the relationship between tracheostomy tube and innominate artery, we divided into three categories. First proximal tube position based on cervical vertebra, named "tracheostomy tube departure level (TTDL)". Second, distal tube position and course of innominate artery, named "tracheostomy tube-innominate artery configuration (TTIC)". Third, the gap between the tube and innominate artery, named "tracheostomy tube to innominate artery gap (TTIG)". The TTDL/TTIC and TTIG are based on 3-dimensional (3D) reconstruction around tracheostomy and enhanced axial slices of upper chest, respectively. Results : First, mean TTDL was $6.8{\pm}0.6$. Five cases (23%) were lower than C7 vertebra. Second, TTIC were remote to innominate artery (2 cases; 9.1 %), matched with it (14 cases; 63.6%) or crossed it (6 cases; 27.3%). Only 9% of cases were definitely free from innominate artery injury. Third, average TTIG was $4.3{\pm}4.6$ mm. Surprisingly, in 6 cases (27.3%), innominate artery, trachea wall and tracheostomy tube were tightly attached all together, thus have much higher probability of erosion. Conclusion : If low TTDL, match or crossing type TTIC with reverse-L shaped innominate artery, small trachea and thin TTIG are accompanied all together, we may seriously consider early plugging and tube removal.

• Journal of Chest Surgery
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• 제40권9호
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• pp.651-654
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• 2007

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.