A rare case of an aberrant innominate vein causing posttracheostomy haemorrhage

{Figure 1}{Figure 2} Although tracheostomy is a simple procedure, many complications such as bleeding, infection, aspiration, false passage, tube blockage, surgical emphysema, tracheal stenosis and rarely tracheo- arterial fistula have been reported. [1],[4] Various mechanisms have been proposed for the development of the fistula including a persistent cuff pressure causing tracheal necrosis along with the vessel exerting pressure on the same site due to its pulsations, the tip of tube rubbing against the tracheal wall, a piston like movement of the tracheostomy tube connected to the ventilator, local infection, neoplastic invasion or necrosis of the cartilage.