Emergency management of aorto-bronchial fistula after implantation of a self-expanding bronchial stent.
We report a case of aorto-bronchial fistula 7 years after implantation of a self-expanding metal stent into the left main bronchus. The clinical presentation was characterised by left-sided chest pain, dyspnea and a single bout of haemoptysis. The fistula was surgically managed by aortic resection and primary repair of the aorta, and patch repair of the left main bronchus over a Polyflex covered bronchial stent. When haemoptysis occurs in a patient with a history of bronchial stent implantation, the presence of an aorto-bronchial fistula should be considered. Early diagnosis offers the only possibility of recovery through a lifesaving surgical procedure.
Nouraei
S M
SM
Regional Cardiothoracic Centre, Freeman Hospital, NE7 7DN, Newcastle upon Tyne, UK. smnouraei@yahoo.co.uk
Pillay
T
T
Hilton
C J
CJ
D000328:Adult; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001980:Bronchi / Q000601:surgery*; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004630:Emergencies; D005260:Female; D006801:Humans; D011859:Radiography; D015607:Stents / Q000009:adverse effects; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery