Aortobronchial fistula secondary to chronic post-traumatic thoracic aneurysm.
A few patients with traumatic aortic laceration remain undiagnosed and survive long enough to develop a chronic aneurysm. Such aneurysms are frequently asymptomatic; alternatively, they may manifest themselves in the form of chest pain, dysphonia, dysphagia, bronchial irritation, or sudden death. A case of aortobronchial fistula secondary to a chronic post-traumatic aneurysm of the aortic isthmus is presented. Hemoptysis was the main sign. The affected segment of the thoracic aorta was replaced with a Dacron graft and a left superior lobectomy was performed. Nevertheless, the patient died during the postoperative period due to adult respiratory distress syndrome. Pathogenesis, diagnosis, and management of aortobronchial fistulae are discussed.
Fernández González
A L
AL
Service of Cardiac Surgery, Hospital General de Valencia, Spain.
Montero
J A
JA
Luna
D
D
Gil
O
O
Sanjuán
V M
VM
Monzonís
A M
AM
D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D001018:Aortic Diseases / Q000209:etiology*; D001983:Bronchial Fistula / Q000209:etiology*; D017809:Fatal Outcome; D005402:Fistula / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D012128:Respiratory Distress Syndrome / Q000209:etiology; D013898:Thoracic Injuries / Q000150:complications*; D014057:Tomography, X-Ray Computed