Successful Treatment of a Potentially Fatal Complication of Tracheoinnominate Artery Fistula with Extracorporeal Life Support: Report of a Case

以葉克膜成功的治療因氣管－無名動脈瘻管所造成的致命併發症：病例報告

吳南鈞(Nan-Chun Wu) ； 郭進榮(Jinn-Rung Kuo) ； 鄭伯智(Bor-Chih Cheng)

《胸腔醫學》 25卷4期 (2010/08) Pp. 184-189

https://doi.org/10.29806/TM.201008.0003

摘要

氣管－無名動脈瘻管是一個相當罕見的疾病，但是卻有極高的致死率。如果沒有積極的以外科手術治療，死亡率幾乎是百分之百。我們報告一位十四歲的男性因為氣管－無名動脈瘻管，以外科手術將無名動脈切除，同時做氣管修補與右側髂動脈到鎖骨下動脈繞道手術，術後因為合併急性呼吸窘迫症候群，而使用葉克膜支持，成功的治療此一致命的疾病與其併發症，且至目前為止並無復發的現象，亦無神經學方面的後遺症。

關鍵字

氣管－無名動脈瘻管 ； 經皮擴張氣管造口術 ； 葉克膜

並列摘要

Tracheoinnominate artery fistula is a rare disease with an extremely fatal course. Without aggressive surgical treatment, the mortality rate is nearly 100%. We report a 14-yearold male who suffered from acute respiratory distress syndrome as the complication of tracheoinnominate artery fistula. We concluded that ligation of the innominate artery plus iliofemoral arterial bypass and tracheal repair could cure this life-threatening disease, without recurrence. Furthermore, extracorporeal membrane oxygenation can provide adequate pulmonary and cardiac support to help these patients get through the critical postoperative condition.

並列關鍵字

tracheoinnominate artery fistula ； percutaneous dilated tracheostomy ； extracorporeal membrane oxygenation