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The patient was subsequently transferred to the operating theatre where a 1 cm defect in the right common carotid artery was found and repaired with a graft from the left short saphenous vein. Clinicians who undertake tracheostomy formation should be aware of the possibility of tracheoarterial defect and may wish to discuss it at tracheostomy formation. It should be considered early in the event of a significant bleed. This case identifies deep tissue infection and misplacement of the tracheostomy tube as major contributing factors to fistula formation.<\/jats:p>","DOI":"10.1136\/bcr-2020-237854","type":"journal-article","created":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T11:15:28Z","timestamp":1617016528000},"page":"e237854","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Tracheocarotid artery fistula in a patient who had tracheostomy successfully treated with a saphenous vein graft"],"prefix":"10.1136","volume":"14","author":[{"given":"Katherine Elizabeth","family":"Dahill","sequence":"first","affiliation":[{"name":"Critical Care, University Hospital Aintree, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ged","family":"Dempsey","sequence":"additional","affiliation":[{"name":"Critical Care, University Hospital Aintree, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,3,29]]},"reference":[{"key":"2025082703231336000_14.3.e237854.1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.6.3906"},{"key":"2025082703231336000_14.3.e237854.2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeq238"},{"key":"2025082703231336000_14.3.e237854.3","doi-asserted-by":"crossref","DOI":"10.1186\/1752-1947-5-595","article-title":"Tracheo-brachiocephalic artery fistula after tracheostomy associated with thoracic deformity: a case report","volume":"5","author":"Ogawa","year":"2011","journal-title":"J Med Case Rep"},{"key":"2025082703231336000_14.3.e237854.4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2015\/547248","article-title":"Surgical management of recurrent Tracheocarotid fistula following endovascular stent placement","volume":"2015","author":"Steitz","year":"2015","journal-title":"Case Rep Otolaryngol"},{"key":"2025082703231336000_14.3.e237854.5","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/s12070-014-0813-4","article-title":"Post tracheostomy Carotid-Tracheal fistula","volume":"68","author":"Shylendran","year":"2016","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"2025082703231336000_14.3.e237854.6","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aei282"},{"key":"2025082703231336000_14.3.e237854.7","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.2169\/internalmedicine.1158-18","article-title":"A computed tomographic assessment of tracheostomy tube placement in patients with chronic neurological disorders: the prevention of tracheoarterial fistula","volume":"58","author":"Tateyama","year":"2019","journal-title":"Intern Med"},{"key":"2025082703231336000_14.3.e237854.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.braindev.2005.08.002"},{"key":"2025082703231336000_14.3.e237854.9","unstructured":"Dugas BA , Samra NS . 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