Abstract
Tracheo-innominate artery fistula is one of the fetal complication of tracheostomy. It occurs mainly because of continuous compression of a cuff or an elbow of canule to the tracheal wall at the level of the innominate artery.We treated a 54-year-old male operated on for his hypopharyngeal carcinoma. On the 120th. post operative day, sudden massive hemorrhage occurred through the tracheostoma. The hemorrhage was successfully controlled by inserting an endotracheal tube and hyperinflation of the cuff.Median sternostomy was carried out and the innominate artery was resected. Three days after the operation, however, the patient died due to respiratory failure.
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