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Too Big to Fail? -- An Aggressive Strategy For a Dire Problem
  • Jennifer Perri,
  • Ryan Plichta
Jennifer Perri
Duke University

Corresponding Author:[email protected]

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Ryan Plichta
Duke University
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Tracheo-innominate fistula (TIF) is a reported complication of tracheostomy that typically presents with a herald bleed. The phenomenon of an aorto-tracheal fistula has similar pathology and presentation to TIF, but no standard surgical repair. In the manuscript by Musgrove et al. in the Journal of Cardiac Surgery the authors propose a surgical treatment, that is reproduceable for the correct anatomic configuration - an ascending and aortic arch replacement, pericardial patch of the tracheal defect, and omental flap coverage to prevent infection. While this intervention seems a large undertaking for a small defect, it is a safe and durable repair.
21 Aug 2022Submitted to Journal of Cardiac Surgery
23 Aug 2022Submission Checks Completed
23 Aug 2022Assigned to Editor
23 Aug 2022Editorial Decision: Accept
Dec 2022Published in Journal of Cardiac Surgery volume 37 issue 12 on pages 5475-5476. 10.1111/jocs.16911