Venobronchial fistula: an unusual complication of long-term central venous access.
A venobronchial fistula developed between the azygous vein and the upper aspect of the right main bronchus 12 months after completion of the treatment of a stage IIIB non-small-cell lung cancer in a 54-year-old man. The fistula contained the tip of the catheter placed for chemotherapy perfusion. The reported case presented risk factors previously identified for such a complication. In addition, some clinical particularities were present, suggesting new potent risk factors and some preventive means for safe long-term central venous catheterization.
Ananian
Pascal
P
Department of Thoracic Surgery, Hospital Sainte-Marguerite, Marseille, France.
Doddoli
Christophe
C
Barlési
Fabrice
F
Grégoire
Emilie
E
Aragon
Adrian
A
Giudicelli
Roger
R
Thomas
Pascal
P
D000970:Antineoplastic Agents / Q000008:administration & dosage; D001401:Azygos Vein; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000517:prevention & control; D002289:Carcinoma, Non-Small-Cell Lung / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D008207:Lymphatic Metastasis / Q000473:pathology; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000517:prevention & control
D000970:Antineoplastic Agents