Pregledni rad
https://doi.org/10.22514/SV151.042019.12
Tortuosity of the brachiocephalic artery complicated with arterial injury after tracheotomy: a case report
KAZUNARI AZUMA
orcid.org/0000-0002-0519-3716
; Department of Emergency and Critical Care Medicine, Tokyo Medical University
SHOUJI SUZUKI
YURI ISHII
orcid.org/0000-0002-3441-3271
YASUHIRO UEDA
orcid.org/0000-0002-9156-8675
TSUBASA FUJIKAWA
orcid.org/0000-0001-8304-5121
KENTARO MORINAGA
orcid.org/0000-0003-2363-2177
KEIICHIRO SHIMOYAMA
orcid.org/0000-0001-8637-7893
JUN ODA
Sažetak
Tracheotomy is an operation of the airway performed even on critical care patients. Surgical complications of tracheotomies are fatal. In this study, tortuosity of the brachiocephalic artery complicated with arterial injury was observed in a patient after tracheotomy. A 95-year-old woman in coma was admitted to our medical center. The patient needed airway management, and tracheal intubation was performed. The cause of the coma was extensive cerebral infarction of the right middle cerebral artery. It was expected that the coma would be prolonged, and a tracheotomy was performed after 7 days. Tortuosity of the brachiocephalic artery was confirmed with cervical computed tomography before surgery. The patient bled through the tracheostomy after 30 days. To arrest bleeding from the right common carotid artery, a vascular repair surgery was performed. There was no recurrent bleeding after surgery. After 37 days, the patient died of deteriorating primary disease. Although tracheotomy is a common operation, attention should be paid to abnormalities of blood vessels including tortuosity of the brachiocephalic artery.
Ključne riječi
arterial injury; brachiocephalic artery; complications; critical care; tracheotomy
Hrčak ID:
219770
URI
Datum izdavanja:
1.5.2019.
Posjeta: 829 *