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- Title
Survival of a child without sequelae after tracheoarterial fistula.
- Authors
GHAI, BABITA; MAKKAR, JEETINDER KAUR; BAKSHI, JAYAMANTI; RANA, SHELLY; SINGH, RANA SANDIP; BHAGAT, SANJEEV
- Abstract
Tracheoarterial fistula (TAF) involves erosion through the tracheal wall into the innominate artery resulting in bleeding. It is a rare but lethal complication of tracheostomy. Mortality is 100% without operative interference. Even with appropriate management, a survival rate of only 14.3% has been reported. We report a case of TAF in a child, where rapid institution of resuscitative and operative measures resulted in survival. Initial temporary control of bleeding was achieved by hyperinflation of cuff. Computed tomography (CT) angiography confirmed the diagnosis. The damaged segment of the eroded artery was resected and ligated. This case highlights the role of early diagnosis and prompt aggressive therapy for management of this potentially lethal complication.
- Subjects
FISTULA; DISEASE complications; TRACHEAL diseases; TRACHEOTOMY; TOMOGRAPHY; ANGIOGRAPHY
- Publication
Pediatric Anesthesia, 2007, Vol 17, Issue 6, p588
- ISSN
1155-5645
- Publication type
Article
- DOI
10.1111/j.1460-9592.2006.02176.x