Tracheoinnominate Fistula: Endovascular Treatment with a Stent Graft in a 4-Year-Old Child

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• 作者：Rafael Noronha Cavalcante ; ^{rafaelnoronha@yahoo.com.br" class="auth_mail" title="E-mail the corresponding author} ; Joaquim Maurí ; cio Motta-Leal-Filho ; Macello José ; Sampaio Maciel ; Francisco Cesar Carnevale
• 刊名：Annals of Vascular Surgery
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：31
• 期：Complete
• 页码：206.e9-206.e12
• 全文大小：571 K

文摘

A 4-year-old boy presented with acute and profuse bleeding at the tracheostomy site. An emergency angiography was performed and identified a pseudoaneurysm at the innominate artery. A selective catheterization of the artery was executed and 2 Advanta V12 balloon-expandable covered stents were implanted in an overlapping manner to occlude the pseudoaneurysm. Final angiography demonstrated patency of the innominate artery and no signs of bleeding. The patient had no postoperative complications and no further bleeding during follow-up. A contrasted computed tomography scan was performed after 20 days and demonstrated no signs of pseudoaneurysm or bleeding. After 4 months, the patient was readmitted to tracheal dilatation and change of T-tube and died of respiratory complications.