A novel reconstruction technique of a tracheal defect in the emergent setting using a thymus flap in a patient with tracheoinnominate artery fistula
Abstract Background There is a very high mortality associated with a tracheoinnominate artery fistula; however, when patients survive, they often require reconstruction of the eroded tracheal defect after the bleeding has been controlled. Case presentation This is the case of an 83-year-old male wit...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2020-01-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-019-0763-x |
| _version_ | 1818662593193050112 |
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| author | Tyler B. Draeger Shahriyour K. Andaz Vanessa R. Gibson |
| author_facet | Tyler B. Draeger Shahriyour K. Andaz Vanessa R. Gibson |
| author_sort | Tyler B. Draeger |
| collection | DOAJ |
| description | Abstract Background There is a very high mortality associated with a tracheoinnominate artery fistula; however, when patients survive, they often require reconstruction of the eroded tracheal defect after the bleeding has been controlled. Case presentation This is the case of an 83-year-old male with a tracheoinnominate artery fistula who was stabilized in the operating room and underwent repair of his trachea. A novel technique of using the thymus gland as a pedicled flap to repair a large tracheal defect was executed after achieving hemostasis. The patient’s defect was repaired successfully following control of the fistula. Conclusions We have shown that the thymus gland can be used successfully as a pedicled flap for repair of a tracheal defect in the setting of a tracheoinnominate artery fistula. |
| first_indexed | 2024-12-17T05:03:25Z |
| format | Article |
| id | doaj.art-e8780be3521148a6af73c2bebb0568da |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-17T05:03:25Z |
| publishDate | 2020-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-e8780be3521148a6af73c2bebb0568da2022-12-21T22:02:30ZengSpringerOpenSurgical Case Reports2198-77932020-01-01611610.1186/s40792-019-0763-xA novel reconstruction technique of a tracheal defect in the emergent setting using a thymus flap in a patient with tracheoinnominate artery fistulaTyler B. Draeger0Shahriyour K. Andaz1Vanessa R. Gibson2Department of Surgery, Icahn School of Medicine at Mount Sinai South NassauDivision of Cardiothoracic Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai South NassauDivision of Cardiothoracic Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai South NassauAbstract Background There is a very high mortality associated with a tracheoinnominate artery fistula; however, when patients survive, they often require reconstruction of the eroded tracheal defect after the bleeding has been controlled. Case presentation This is the case of an 83-year-old male with a tracheoinnominate artery fistula who was stabilized in the operating room and underwent repair of his trachea. A novel technique of using the thymus gland as a pedicled flap to repair a large tracheal defect was executed after achieving hemostasis. The patient’s defect was repaired successfully following control of the fistula. Conclusions We have shown that the thymus gland can be used successfully as a pedicled flap for repair of a tracheal defect in the setting of a tracheoinnominate artery fistula.https://doi.org/10.1186/s40792-019-0763-xTracheoinnominate fistulaTracheal bleedingPedicled flapTracheal reconstructionThymus |
| spellingShingle | Tyler B. Draeger Shahriyour K. Andaz Vanessa R. Gibson A novel reconstruction technique of a tracheal defect in the emergent setting using a thymus flap in a patient with tracheoinnominate artery fistula Surgical Case Reports Tracheoinnominate fistula Tracheal bleeding Pedicled flap Tracheal reconstruction Thymus |
| title | A novel reconstruction technique of a tracheal defect in the emergent setting using a thymus flap in a patient with tracheoinnominate artery fistula |
| title_full | A novel reconstruction technique of a tracheal defect in the emergent setting using a thymus flap in a patient with tracheoinnominate artery fistula |
| title_fullStr | A novel reconstruction technique of a tracheal defect in the emergent setting using a thymus flap in a patient with tracheoinnominate artery fistula |
| title_full_unstemmed | A novel reconstruction technique of a tracheal defect in the emergent setting using a thymus flap in a patient with tracheoinnominate artery fistula |
| title_short | A novel reconstruction technique of a tracheal defect in the emergent setting using a thymus flap in a patient with tracheoinnominate artery fistula |
| title_sort | novel reconstruction technique of a tracheal defect in the emergent setting using a thymus flap in a patient with tracheoinnominate artery fistula |
| topic | Tracheoinnominate fistula Tracheal bleeding Pedicled flap Tracheal reconstruction Thymus |
| url | https://doi.org/10.1186/s40792-019-0763-x |
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