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Graft repair of tracheo-innominate artery fistula following percutaneous tracheostomy

^a Department of Thoracic Surgery, Chest Disease Hospital, Kuwait
^b Department of Surgery, Faculty of Medicine, Kuwait University, Kuwait

*Corresponding author. Al-Deya, P.O. Box 15179, Code number 35452, Kuwait. Tel.: +(965) 6600543; fax: +(965) 4741504.

E-mail address: trinityq8{at}hotmail.com (N. Al-Sarraf).

Tracheo-innominate fistula (TIF) is a rare complication following percutaneous dilatational tracheostomy (PDT), occurring in 1% of cases. It usually develops three days to six weeks after the procedure and is fatal in the majority of cases, even after successful initial repair. We present a successfully treated case of TIF using a Goretex graft to replace the severely destroyed segment of the innominate artery.

Key Words: Tracheostomy; Tracheoinnominate artery fistula; Graft; Sternotomy