Successful management of tracheo-innominate artery fistula using interposition of a thymus pedicle flap. 1995

R Nakanishi, and A Shimazu, and T Mitsudomi, and T Masuda, and T Osaki, and S Onimura, and A Shigematsu, and T Sata, and H Urano, and K Yasumoto
Second Department of Surgery, University of Occupational and Environmental Health, Kitakyushu, Japan.

Tracheo-innominate artery fistula is usually a fatal complication of tracheostomy. The trachea and innominate artery were successfully reconstructed in an 11-year-old girl who presented with this complication. The thymus was interposed between these two structures in order to prevent further long-term complications.

UI MeSH Term Description Entries
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D005402 Fistula Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body. Fistulas
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013524 Surgical Flaps Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region. Island Flap,Island Flaps,Flap, Surgical,Flaps, Surgical,Pedicled Flap,Surgical Flap,Flap, Island,Flap, Pedicled,Flaps, Island,Flaps, Pedicled,Pedicled Flaps
D013950 Thymus Gland A single, unpaired primary lymphoid organ situated in the MEDIASTINUM, extending superiorly into the neck to the lower edge of the THYROID GLAND and inferiorly to the fourth costal cartilage. It is necessary for normal development of immunologic function early in life. By puberty, it begins to involute and much of the tissue is replaced by fat. Thymus,Gland, Thymus,Glands, Thymus,Thymus Glands
D014133 Tracheal Diseases Diseases involving the TRACHEA. Disease, Tracheal,Diseases, Tracheal,Tracheal Disease
D014139 Tracheostomy Surgical formation of an opening into the trachea through the neck, or the opening so created. Tracheostomies
D016122 Brachiocephalic Trunk The first and largest artery branching from the aortic arch. It distributes blood to the right side of the head and neck and to the right arm. Innominate Artery,Arteries, Innominate,Artery, Innominate,Brachiocephalic Trunks,Innominate Arteries,Trunk, Brachiocephalic,Trunks, Brachiocephalic

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