<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932018000400005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores que influyen en los resultados de fístula traqueoinnominada I]]></article-title>
<article-title xml:lang="en"><![CDATA[Influential factors in the results of traqueoinnonate fistula I]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuentes Valdés]]></surname>
<given-names><![CDATA[Edelberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico &#8220;Hermanos Ameijeiras&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>57</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932018000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932018000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932018000400005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La fístula traqueoinnominada, aunque poco frecuente, constituye una amenaza potencial para la vida, si no es reconocida y tratada oportunamente.  Objetivo:  Describir los resultados obtenidos e identificar las acciones que permitan identificarlos.  Métodos: Se realizó el estudio retrospectivo, sobre una base de datos prospectiva de pacientes con fístulas traqueonominadas tratados entre 1991 y 2013. Los enfermos se clasificaron según la operación previa: traqueostomía, uso de tubo en T en reintervenciones con intensión de resecar el segmento traqueal estenótico. La revisión de la patogenia y de los métodos diagnósticos permitirán una mejor comprensión para enfrentar esta temible complicación. Se analizan los factores que pudieron influenciar los resultados.  Resultados: Cuatro pacientes pertenecían al sexo femenino. Dos tenían una traqueostomía, dos fueron reoperados después de tratamiento con tubo en T; a uno se le realizó resección y anastomosis traqueal y en el otro no fue posible porque se produjo lesión puntiforme traqueal durante la disección mediastinal. Al último se le había colocado un tubo en T, mediante traqueofisura. En dos de tres pacientes, el sangrado centinela se interpretó incorrectamente. En el primero, se consideró que era la consecuencia del tratamiento anticoagulante y en el segundo no se dio valor a la pequeña cantidad de sangre en los esputos.  Conclusiones: Un alto índice de sospecha, el diagnóstico temprano y las medidas al pie de la cama: compresión digital y colocación de un tubo ET o una cánula de traqueostomía con el manguito hiperinsuflado, constituyen la única esperanza para estos pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The tracheoinnominate fistula, though a rare entity, is a potential life threat if it is not promptly recognized and treated.  Objective:  To analyze the influential factors in the results of tracheoinnominate fistula I.  Methods:  Retrospective study supported on the prospective databases from patients with tracheoinnominate fistulae, who had been treated from 1991 to 2013. They were classified according to their previous surgery: tracheostomy, use of a T-tube or re-interventions aimed at resecting the stenotic tracheal segment. The review of pathogeny and of diagnostic methods allowed a better understanding to face this severe complication. The factors that could have an impact on the results were also analyzed.  Results:  Four patients were women. Two patients had undergone tracheostomy; two had been reoperated after treatment with T-tube; resection and tracheal anastomosis were performed in one of them but these procedures were not possible to be applied to the other because of a punctiform tracheal lesion during the mediastinal dissection. A T-tube had been placed in this last patient through tracheofissure. The sentinel bleeding in two of three patients was not properly evaluated. In one of them, the bleeding was considered to be the result of anticoagulant treatment whereas in the other, the small amount of blood in the sputum was underassessed.  Conclusions:  High amount of suspicion, early diagnosis and application of bedside measures such as digital compression, placement of a T-tube or a tracheostomy cannula with overinflated cuff are the only hopeful options for these patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fístula]]></kwd>
<kwd lng="es"><![CDATA[traqueoinnominada]]></kwd>
<kwd lng="es"><![CDATA[fístula traqueoinnominada]]></kwd>
<kwd lng="es"><![CDATA[arteria innominada]]></kwd>
<kwd lng="es"><![CDATA[tráquea]]></kwd>
<kwd lng="en"><![CDATA[fistula]]></kwd>
<kwd lng="en"><![CDATA[tracheoinnominate]]></kwd>
<kwd lng="en"><![CDATA[tracheoinnominate fistula]]></kwd>
<kwd lng="en"><![CDATA[innominate artery]]></kwd>
<kwd lng="en"><![CDATA[trachea]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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