title: Endovascular stenting of an aortopulmonary fistula presenting with hemoptysis. A case report.
abstract: We present a 45 year old man with massive hemoptysis due to an aortopulmonary fistula. Our patient had a history of a previous patent ductus arteriosus repair which was complicated by a previous aortopulmonary fistula. Computed tomography of the chest and aortography made the diagnosis of a recurrent aortopulmonary fistula. Because of the history of previous surgical aortic procedures, repair of the fistula was completed through a retroperitoneal aortotomy with intravascular insertion of an expandable stainless steel stent covered by a polyester graft. The patient has had no hemoptysis or computed tomographic evidence of fistula recurrence thirty eight months after the procedure.
authors.affiliation: Department of Medicine, Santa Clara Valley Medical Center, San Jose, California, USA.
authors.forename: A C
authors.initials: AC
authors.lastname: Campagna
authors.forename: J H
authors.initials: JH
authors.lastname: Wehner
authors.forename: C M
authors.initials: CM
authors.lastname: Kirsch
authors.forename: C P
authors.initials: CP
authors.lastname: Semba
authors.forename: F T
authors.initials: FT
authors.lastname: Kagawa
authors.forename: W A
authors.initials: WA
authors.lastname: Jensen
authors.forename: M D
authors.initials: MD
authors.lastname: Dake
mesh_terms: D017541:Aneurysm, False / Q000150:complications / Q000601:surgery*; D001013:Aorta, Thoracic; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001159:Arterio-Arterial Fistula / Q000150:complications / Q000601:surgery*; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery; D015607:Stents