Patient C
An 80-year-old woman presented had undergone tracheostomy following
prolonged intubation 8 months ago. She was admitted to the ED due to
acute and significant bleeding from the stomal area. Hemostasis was
achieved by inflating the tracheostomy balloon and local dressing
pressure. An emergency angiography demonstrated TIAF (Fig 3A+B). Through
a 10Fr. sheath right femoral approach, a 13.5mm stent graft was placed
in the innominate artery, followed by 14mm balloon inflation. Control of
the bleeding was achieved. The patient was discharged from the ICU after
a week. On one year follow-up the patient remained asymptomatic.