기관절개술 후 발생한 지연성기관무명동맥루 1례

Abstract

Tracheoinnominate artery fistula (TIF) is a rare in otolaryngology department, but highly fatal complication of tracheostomy. When massive hemorrhage begins from TIF, bedside control of hemorrhage by cuff overinflation or by digital arterial compression can be lifesaving. Authors experienced a patient who developed a small amount of bleeding around the tracheotomy tube one year and 5 months after tracheotomy. On exploratory neck examination, the thyroid and bleeding around the tube stopped but one day after the neck examination, patient had massive bleeding and underwent angiogram of which result confirmed the diagnosis with reacheo-innominate artery fistula.