Endovascular stenting of an aortopulmonary fistula presenting with hemoptysis. A case report.
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.
Campagna
A C
AC
Department of Medicine, Santa Clara Valley Medical Center, San Jose, California, USA.
Wehner
J H
JH
Kirsch
C M
CM
Semba
C P
CP
Kagawa
F T
FT
Jensen
W A
WA
Dake
M D
MD
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