{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:19:48Z","timestamp":1776680388741,"version":"3.51.2"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,1,14]],"date-time":"2020-01-14T00:00:00Z","timestamp":1578960000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,1,14]],"date-time":"2020-01-14T00:00:00Z","timestamp":1578960000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>There is a very high mortality associated with a tracheoinnominate artery fistula; however, when patients survive, they often require reconstruction of the eroded tracheal defect after the bleeding has been controlled.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>This is the case of an 83-year-old male with a tracheoinnominate artery fistula who was stabilized in the operating room and underwent repair of his trachea. A novel technique of using the thymus gland as a pedicled flap to repair a large tracheal defect was executed after achieving hemostasis. The patient\u2019s defect was repaired successfully following control of the fistula.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>We have shown that the thymus gland can be used successfully as a pedicled flap for repair of a tracheal defect in the setting of a tracheoinnominate artery fistula.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s40792-019-0763-x","type":"journal-article","created":{"date-parts":[[2020,1,14]],"date-time":"2020-01-14T11:02:49Z","timestamp":1578999769000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A novel reconstruction technique of a tracheal defect in the emergent setting using a thymus flap in a patient with tracheoinnominate artery fistula"],"prefix":"10.1186","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0019-6974","authenticated-orcid":false,"given":"Tyler B.","family":"Draeger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahriyour K.","family":"Andaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa R.","family":"Gibson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,1,14]]},"reference":[{"key":"763_CR1","doi-asserted-by":"crossref","unstructured":"Menen RS, Pak JJ, Dowell MA, Patel AR, Ashiku SK, Velotta JB. Treatment of tracheoinnominate fistula with ligation of the innominate artery: a case report. Perm J. 2016;20(3).","DOI":"10.7812\/TPP\/15-166"},{"issue":"1","key":"763_CR2","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1093\/bja\/aei282","volume":"96","author":"CA Grant","year":"2005","unstructured":"Grant CA, Dempsey G, Harrison J, Jones T. Tracheo-innominate artery fistula after percutaneous tracheostomy: three case reports and a clinical review. Br J Anaesth. 2005;96(1):127\u201331.","journal-title":"Br J Anaesth"},{"issue":"1","key":"763_CR3","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1093\/icvts\/ivx249","volume":"26","author":"B Reger","year":"2017","unstructured":"Reger B, Neu R, Hofmann HS, Ried M. High mortality in patients with tracheoarterial fistulas: clinical experience and treatment recommendations. Interact Cardiovasc Thorac Surg. 2017;26(1):12\u20137.","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"5","key":"763_CR4","doi-asserted-by":"publisher","first-page":"1388","DOI":"10.1016\/j.jtcvs.2016.07.074","volume":"152","author":"BV Udelsman","year":"2016","unstructured":"Udelsman BV, Eaton J, Muniappan A, Morse CR, Wright CD, Mathisen DJ. Repair of large airway defects with bioprosthetic materials. J Thorac Cardiovasc Surg. 2016;152(5):1388\u201397.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"763_CR5","doi-asserted-by":"crossref","unstructured":"Abouarab AA, Elsayed HH, Elkhayat H, Mostafa A, Cleveland DC, El Nori A. Current solutions for long-segment tracheal reconstruction. Ann Thorac Cardiovasc Surg. 2017:ra-16.","DOI":"10.5761\/atcs.ra.16-00251"},{"issue":"4","key":"763_CR6","doi-asserted-by":"publisher","first-page":"747","DOI":"10.1016\/j.ejcts.2006.12.028","volume":"31","author":"F Iodice","year":"2007","unstructured":"Iodice F, Brancaccio G, Lauri A, Di Donato R. Preventive ligation of the innominate artery in patients with neuromuscular disorders. Eur J Cardiothorac Surg. 2007;31(4):747\u20139.","journal-title":"Eur J Cardiothorac Surg"},{"issue":"3","key":"763_CR7","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1177\/10847138062895141","volume":"41","author":"E Palchik","year":"2007","unstructured":"Palchik E, Bakken AM, Saad N, Saad WA, Davies MG. Endovascular treatment of tracheoinnominate artery fistula: a case report. Vasc Endovasc Surg. 2007;41(3):258\u201361.","journal-title":"Vasc Endovasc Surg"},{"issue":"01","key":"763_CR8","doi-asserted-by":"publisher","first-page":"012","DOI":"10.1055\/s-0034-1370775","volume":"3","author":"HY Ahn","year":"2015","unstructured":"Ahn HY, Son BS, Kim DH. Recurrent tracheoinnominate artery fistula due to stent graft fracture. Eur J Pediatr surg Rep. 2015;3(01):012\u20134.","journal-title":"Eur J Pediatr surg Rep"},{"issue":"6","key":"763_CR9","doi-asserted-by":"publisher","first-page":"1988","DOI":"10.1016\/j.jtcvs.2014.01.043","volume":"147","author":"K Shimizu","year":"2014","unstructured":"Shimizu K, Nagashima T, Ohtaki Y, Takeyoshi I. Novel repair of a defect in the cervical trachea with a thymus pedicle flap. J Thorac Cardiovasc Surg. 2014;147(6):1988\u201390.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"763_CR10","doi-asserted-by":"publisher","first-page":"100691","DOI":"10.1016\/j.scrs.2019.100691","volume":"30","author":"M Anderson","year":"2019","unstructured":"Anderson M, Grucela A. Toxic megacolon. Semin Colon Rectal Surg. 2019;30(3):100691 WB Saunders.","journal-title":"Semin Colon Rectal Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-019-0763-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40792-019-0763-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-019-0763-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T00:07:40Z","timestamp":1610496460000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-019-0763-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,14]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["763"],"URL":"https:\/\/doi.org\/10.1186\/s40792-019-0763-x","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,14]]},"assertion":[{"value":"15 September 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 December 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 January 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Approval for this publication has been authorized by the Department of Clinical Research.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Requirement for consent has been determined to be not applicable for this publication.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"21"}}