Massive bleeding from tracheoarterial fistula in an amyotrophic lateral sclerosis patient treated with long-term invasive ventilation: an autopsy case report

DOI Web Site 12 References
  • Kato Kazuhiro
    Department of Neurology, Tohoku University School of Medicine
  • Suzuki Naoki
    Department of Neurology, Tohoku University School of Medicine
  • Aoki Masashi
    Department of Neurology, Tohoku University School of Medicine
  • Warita Hitoshi
    Department of Neurology, Tohoku University School of Medicine
  • Jin Kazutaka
    Department of Neurology, Tohoku University School of Medicine
  • Itoyama Yasuto
    Department of Neurology, Tohoku University School of Medicine

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Other Title
  • 長期人工呼吸管理下に気管腕頭動脈瘻からの急性出血で死亡した家族性ＡＬＳの１例
  • チョウキ ジンコウ コキュウ カンリカ ニ キカン ワントウ ドウミャクロウ カラノ キュウセイ シュッケツ デ シボウシタ カゾクセイ ALS ノ 1レイ

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Abstract

We report a 43-year-old woman with familial amyotrophic lateral sclerosis (FALS) who died of massive bleeding from a tracheoarterial fistula. Four years after the onset of the disease, she received invasive ventilation by tracheostomy because of respiratory failure. Four years and 7 months later, she showed an abrupt hemorrhage from the tracheostomy and died. The postmortem examination revealed a fistulous tract between the tracheal mucosal ulcer and the brachiocephalic trunk. The ulcer was in close proximity to the tracheostomy tube. In order to avoid such unexpected complications, we should observe the contact site between the tracheal mucosa and the tracheal tube in chronic tracheostomy patients.<br>

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