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Letter to the Editor

J Pak Med Assoc. 2015; 65(3): 343-344

An Early Tracheo-Innominate Fistula: Lessons Learnt from a Clinical Encounter

Dania Aijaz Shah, Adil Aijaz Shah, Amarah Shakoor, Saulat Hasnain Fatimi.

A 50-year old woman came with the presentation of comatose with a subdural hematoma due to road traffic accident. She underwent tracheostomy after she developed ventilator-associated pneumonia. Within 72 hours of the procedure she developed tracheo-innominate fistula which usually develops in 1-2 weeks and is quite rare. Although the defect was repaired with a saphenous vein patch, the bleeding continued and no improvements were seen.

Key words: subdural hematoma, tracheostomy, pseudo-aneurysm, tracheo-innominate fistula

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