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May 1974

Primary Suture of Eroded Innominate Artery

Author Affiliations

Marshfield, Wis

Arch Surg. 1974;108(5):749. doi:10.1001/archsurg.1974.01350290111025

To the Editor.—The August 1972, issue of the Archives included the paper we presented at the Central Surgical Association reporting cases of tracheal innominate artery fistula.1 We cited three reported cases of survival of this catastrophe, published in English, in the American literature, the earliest in 1968. However, one of the members of our clinic, Dr. Michel Roy, published a previous report in French in 1962,2 which makes it the first case of survival of this complication known to us. The following is the translation by Dr. Roy of an abridged version of his case report.

A 31-year-old female entered the hospital for a viral encephalomyelitis with progressive ascending paralysis affecting the respiration. A tracheostomy was done at the level of the second tracheal ring. The automatic respirator was connected to the metal tracheal cannula. Two days later, a massive hemorrhage from the neck occurred. The blood