症例は17歳男性．MCT-8欠損症による脳性麻痺，重度精神運動発達障害があり，10歳時に気管切開術を施行されていた．気管切開孔から大量出血を来たし，前医へ救急搬送された．造影CTで気管腕頭動脈瘻と診断し，緊急で腕頭動脈へのカバードステント留置にて止血した．1カ月後に再出血を認め，再度カバードステント留置にて止血した．再出血や感染のリスクがあるため，根治的手術目的に当科へ紹介となった．手術は左第3肋間レベルL字型胸骨部分切開にて縦隔内へアプローチし，腕頭動脈離断術を施行した．新規の神経学的後遺症や縦隔洞炎を認めず，術後25日目に転院した．術後2年10カ月を経過して再出血や感染を認めていない．気管腕頭動脈瘻は再出血や感染，神経学的後遺症を予防するための治療戦略を立て，可及的早期の外科的治療に踏み切ることが重要である．

Congenital cutaneous hemangioma associated with congenital heart disease is extremely rare. We report four infants with congenital cavernous hemangioma of the face and neck and coarctation of the aorta. Three also had congenital aneurysm of a subclavian or innominate artery. One patient also had mild congenital valvular aortic stenosis. The unusual combination of lesions may represent a new syn...

Bérczi V, Szlávy L, Simonffy Á, Nemes B, Hüttl K. Angioplasty of the supraaorticarteries a 18 year experience on 632 cases. Cardiovasc. Intervent. Rad. 1997; 20 Suppl1:S83. Nemes B, Dzsinich C, Bérczi V, et al. PTA and surgical revascularization of theinnominate artery. Cardiovasc. Intervent. Radiol. 1998; 21 suppl. 1:231.

Tracheo-innominate artery fistula (TIAF) is a potentially lethal but rare complication associated with tracheostomy. As tracheostomies are one of the common life saving procedures that are performed routinely in the country, bring this complication to the attention of all health care professionals is of paramount importance. Hence, this case report is prepared.

A case of transection of the origin of the innominate artery with an associated head injury following blunt thoracic injury is presented. The patient had been the unrestrained driver in a road traffic accident. Investigation demonstrated embolic damage to the brain parenchyma. Early surgical repair employing cardiopulmonary bypass and hypothermic circulatory arrest was successfully performed wi...