Post Tracheostomy Carotid-Tracheal Fistula

Area of Science:

• Surgical complications
• Vascular injuries
• Airway management

Background:

• Tracheostomy is a critical intervention for upper airway obstruction and prolonged mechanical ventilation.
• While generally safe, tracheostomy carries risks, including potentially life-threatening vascular injuries.
• The innominate artery is the most commonly injured vessel, but other arterial injuries are less frequent.

Observation:

• This report details a rare case of a tracheovascular fistula.
• The fistula formed a direct communication between the trachea and the carotid artery.
• Massive hemoptysis was the presenting symptom.

Findings:

• A rare vascular complication of tracheostomy was identified.
• A fistulous communication between the trachea and carotid artery was confirmed.
• Massive hemoptysis resulted from this rare injury.

Implications:

• Highlights the importance of vigilance for rare vascular complications during tracheostomy.
• Emphasizes the need for prompt diagnosis and management of tracheovascular fistulas.
• Contributes to the understanding of uncommon tracheostomy-related arterial injuries.