title: Successful surgical management of a tracheopulmonary artery fistula caused by an intratracheal expandable metal stent.
abstract: We describe a boy who underwent slide tracheoplasty and relocation of the left pulmonary artery at 3 months of age to treat pulmonary artery sling with congenital tracheal stenosis. Persisting tracheal stenosis required that he have a Palmaz stent inserted on postoperative day 77. He developed massive hemoptysis after the fourth attempt to expand the stent balloon and immediate computed tomography showed a tracheopulmonary artery fistula. Using cardiopulmonary bypass, we conducted emergency surgery to successfully manage the fistula. He currently depends on mechanical ventilation.
authors.affiliation: Division of Cardiovascular Surgery, National Children's Hospital, Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Miyamoto
authors.forename: R
authors.initials: R
authors.lastname: Ishida
authors.forename: M
authors.initials: M
authors.lastname: Noma
authors.forename: M
authors.initials: M
authors.lastname: Chikada
authors.forename: A
authors.initials: A
authors.lastname: Sekiguchi
mesh_terms: D001159:Arterio-Arterial Fistula / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities / Q000601:surgery; D015607:Stents / Q000009:adverse effects*; D014132:Trachea / Q000098:blood supply*; D014135:Tracheal Stenosis / Q000601:surgery*; D014140:Tracheotomy