Tracheoinnominate fistula mimicking an endotracheal mass and rupture during rigid bronchoscopy

  • Chien-Chih Lu
  • Yao-Kuang Huang
  • Yun-Hen Liu
Case Report


Bleeding from tracheoinnominate fistula is an uncommon, but life-threatening complication, which typically arises when a tracheostomy tube erodes into the posterior aspect of the innominate artery. However, it has never been reported as a complication of rigid bronchoscopy. This study reviews the relevant literature and explores the possibility of lethal tracheoinnominate fistula during these procedures.


Innominate artery Trachea Bronchoscopy Tumour Tracheoinnominate fistula 


  1. 1.
    Alfaro J, Varela G, De-Miguel E (1993) Successful management of a tracheo-innominate artery fistula following placement of a wire self-expandable tracheal Gianturco stent. Eur J Cardiothorac Surg 7:615–616PubMedCrossRefGoogle Scholar
  2. 2.
    Allan JS, Wright CD (2003) Tracheoinnominate fistula: diagnosis and management. Chest Surg Clin N Am 13:331–341PubMedCrossRefGoogle Scholar
  3. 3.
    Conklin LD, LeMaire SA, Casar GJ (2003) Tracheal erosion by an innominate artery graft: presentation and surgical repair. Ann Thorac Surg 75:573–575PubMedCrossRefGoogle Scholar
  4. 4.
    Gelman JJ, Aro M, Weiss SM (1994) Tracheo-innominate artery fistula. J Am Coll Surg 179:626–634PubMedGoogle Scholar
  5. 5.
    Grillo HC, Donahue DM, Mathisen DJ (1995) Postintubation tracheal stenosis. Treatment and results. J Thorac Cardiovasc Surg 109:486–492; discussion 492–483Google Scholar
  6. 6.
    Grundmann T, Brachtel E, Kehrl W (1999) Fistula between the trachea and innominate artery–a rare complication following tracheostenosis treatment with silastic tubes. Laryngorhinootologie 78:91–96PubMedGoogle Scholar
  7. 7.
    Huang YK, Liu YH, Ko PJ (2004) Successful treatment of long-segmental tuberculous tracheal stenosis with combined Mongomery T-stent and Hood stent. Interactive Cardiovasc Thorac Surg 3:349–351CrossRefGoogle Scholar
  8. 8.
    Lu MS, Liu YH, Ko PJ (2003) Preliminary experience with bronchotherapeutic procedures in central airway obstruction. Chang Gung Med J 26:240–249PubMedGoogle Scholar
  9. 9.
    Takasaki K, Enatsu K, Nakayama M (2005) A case with tracheo-innominate artery fistula. Successful management of endovascular embolization of innominate artery. Auris Nasus Larynx 32:195–198PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.Division of Thoracic and Cardiovascular SurgeryChang Gung Memorial Hospital and Chang Gung University of MedicineLinkouTaiwan, R.O.C.
  2. 2. TaoyuanTaiwan, R.O.C.

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