A tracheoinnominate artery fistula presenting with massive hemorrhage in a 13-year-old boy
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 usi...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Pediatric Emergency Medicine
2015-12-01
|
| Series: | Pediatric Emergency Medicine Journal |
| Subjects: | |
| Online Access: | http://pemj.org/upload/pdf/pemj-2-2-89.pdf |
| _version_ | 1797852274084544512 |
|---|---|
| author | Jung Heon Kim Jeong-Yong Lee Hyung-Rae Cho Jong Seung Lee Jeong-Min Ryu |
| author_facet | Jung Heon Kim Jeong-Yong Lee Hyung-Rae Cho Jong Seung Lee Jeong-Min Ryu |
| author_sort | Jung Heon Kim |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-09T19:31:24Z |
| format | Article |
| id | doaj.art-d24831fc2d5b4ff8949942e023b4278c |
| institution | Directory Open Access Journal |
| issn | 2383-4897 |
| language | English |
| last_indexed | 2024-04-09T19:31:24Z |
| publishDate | 2015-12-01 |
| publisher | Korean Society of Pediatric Emergency Medicine |
| record_format | Article |
| series | Pediatric Emergency Medicine Journal |
| spelling | doaj.art-d24831fc2d5b4ff8949942e023b4278c2023-04-04T23:43:42ZengKorean Society of Pediatric Emergency MedicinePediatric Emergency Medicine Journal2383-48972015-12-0122899210.22470/pemj.2015.2.2.896A tracheoinnominate artery fistula presenting with massive hemorrhage in a 13-year-old boyJung Heon Kim0Jeong-Yong Lee1Hyung-Rae Cho2Jong Seung Lee3Jeong-Min Ryu4Department of Pediatrics, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Pediatrics, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Pediatrics, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Emergency Medicine, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Emergency Medicine, University of Ulsan College of Medicine, Seoul, KoreaDespite 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.http://pemj.org/upload/pdf/pemj-2-2-89.pdftracheostomybrachiocephalic trunkfistulahemorrhagechild |
| spellingShingle | Jung Heon Kim Jeong-Yong Lee Hyung-Rae Cho Jong Seung Lee Jeong-Min Ryu A tracheoinnominate artery fistula presenting with massive hemorrhage in a 13-year-old boy Pediatric Emergency Medicine Journal tracheostomy brachiocephalic trunk fistula hemorrhage child |
| title | A tracheoinnominate artery fistula presenting with massive hemorrhage in a 13-year-old boy |
| title_full | A tracheoinnominate artery fistula presenting with massive hemorrhage in a 13-year-old boy |
| title_fullStr | A tracheoinnominate artery fistula presenting with massive hemorrhage in a 13-year-old boy |
| title_full_unstemmed | A tracheoinnominate artery fistula presenting with massive hemorrhage in a 13-year-old boy |
| title_short | A tracheoinnominate artery fistula presenting with massive hemorrhage in a 13-year-old boy |
| title_sort | tracheoinnominate artery fistula presenting with massive hemorrhage in a 13 year old boy |
| topic | tracheostomy brachiocephalic trunk fistula hemorrhage child |
| url | http://pemj.org/upload/pdf/pemj-2-2-89.pdf |
| work_keys_str_mv | AT jungheonkim atracheoinnominatearteryfistulapresentingwithmassivehemorrhageina13yearoldboy AT jeongyonglee atracheoinnominatearteryfistulapresentingwithmassivehemorrhageina13yearoldboy AT hyungraecho atracheoinnominatearteryfistulapresentingwithmassivehemorrhageina13yearoldboy AT jongseunglee atracheoinnominatearteryfistulapresentingwithmassivehemorrhageina13yearoldboy AT jeongminryu atracheoinnominatearteryfistulapresentingwithmassivehemorrhageina13yearoldboy AT jungheonkim tracheoinnominatearteryfistulapresentingwithmassivehemorrhageina13yearoldboy AT jeongyonglee tracheoinnominatearteryfistulapresentingwithmassivehemorrhageina13yearoldboy AT hyungraecho tracheoinnominatearteryfistulapresentingwithmassivehemorrhageina13yearoldboy AT jongseunglee tracheoinnominatearteryfistulapresentingwithmassivehemorrhageina13yearoldboy AT jeongminryu tracheoinnominatearteryfistulapresentingwithmassivehemorrhageina13yearoldboy |