Successful surgical management of a tracheopulmonary artery fistula caused by an intratracheal expandable metal stent.
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.
Miyamoto
T
T
Division of Cardiovascular Surgery, National Children's Hospital, Tokyo, Japan.
Ishida
R
R
Noma
M
M
Chikada
M
M
Sekiguchi
A
A
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