[Hemoptysis in a patient with a previous surgical correction of a tetralogy of Fallot].
Aorto-bronchial fistula is a rare but associated with a height rare of mortality. Although most reported cases are secondary to infectious aneurysms, cases arising after surgery to correct congenital cardiovascular abnormalities have recently been described. We report the case of a 41-year-old patient with recurrent hemoptysis and a history of Fallot's tetralogy corrected in childhood. Given such a case of hemoptysis in a patient with a history of cardiovascular surgery, the correct diagnostic approach includes fiberoptic bronchoscopy, helicoidal CAT and/or NMR, and aortography. Diagnostic confirmation should be followed soon by corrective surgery.
Quintana González
J I
JI
Sección de Neumología, Hospital del Bierzo, Ponferrada, León.
Castrodeza Sanz
R
R
Heras
F
F
Gutiérrez
V
V
Guzmán Dávila
G
G
Ortiz de Saracho y Bobo
J
J
D000328:Adult; D001983:Bronchial Fistula / Q000150:complications* / Q000000981:diagnostic imaging; D006469:Hemoptysis / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011859:Radiography; D012086:Reoperation; D013348:Subclavian Artery / Q000000981:diagnostic imaging; D013771:Tetralogy of Fallot / Q000000981:diagnostic imaging / Q000601:surgery*; D016157:Vascular Fistula / Q000150:complications* / Q000000981:diagnostic imaging