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Article in English | MEDLINE | ID: mdl-388290

ABSTRACT

Tracheoinnominate artery fistulization is a well-known complication of tracheostomy and of tracheal resection. The first known occurrence of this problem in a patient in whom no transtracheal procedure had ever been performed is reported, and high-dose radiation therapy delivered three years before for a mediastinal malignancy is suggested as the cause. No evidence of tumor was found in or adjacent to the tracheovascular communication. The tracheoinnominate artery fistula must be considered a potential complication of radiation therapy as well as of surgery.


Subject(s)
Brachiocephalic Trunk , Fistula/etiology , Radiotherapy/adverse effects , Tracheal Diseases/etiology , Brachiocephalic Trunk/radiation effects , Hemorrhage/etiology , Humans , Male , Mediastinum/radiation effects , Middle Aged , Risk , Trachea/radiation effects , Vascular Diseases/etiology
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