Aortobronchial fistula after unilateral lung transplantation.
An aortobronchial fistula resulting in massive hemoptysis developed in a 48-year-old man 13 months after unilateral lung transplantation. His posttransplantation recovery was complicated by bronchial dehiscence requiring revision and subsequent stricture formation treated by granulation tissue excision, placement of endobronchial stents, dilation, and laser photoablation. Early and aggressive treatment using these modalities is necessary in the successful management of airway complications after pulmonary transplantation.
Hoff
S J
SJ
Department of Cardiac and Thoracic Surgery, Vanderbilt Transplant Center, Vanderbilt University Medical Center, Nashville, Tennessee 32732-5734.
Johnson
J E
JE
Frist
W H
WH
D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000209:etiology*; D001983:Bronchial Fistula / Q000209:etiology*; D001999:Bronchoscopy; D005402:Fistula / Q000209:etiology*; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013529:Surgical Wound Dehiscence / Q000175:diagnosis / Q000209:etiology