Endovascular treatment of an aortobronchial fistula caused by a distal aortic arch mycotic aneurysm: report of a case.
We report a case of an aortobronchial fistula causing massive hemoptysis, which was managed by emergency stent grafting. Although this procedure was successful initially, the aortobronchial fistula appeared again 7 months later. Aneurysmectomy, followed by rifampicin-soaked gelatin sealed polyester graft replacement and omentopexy, was performed under cardiopulmonary bypass. The patient, a 73-year-old woman, had an uneventful postoperative course and the infection was eradicated.
Daitoku
Kazuyuki
K
Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.
Fukuda
Ikuo
I
Taniguchi
Satoshi
S
Minakawa
Masahito
M
D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D001013:Aorta, Thoracic / Q000473:pathology / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000601:surgery; D001019:Aortic Rupture / Q000150:complications* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D057510:Endovascular Procedures; D004791:Enzyme Inhibitors / Q000627:therapeutic use; D005260:Female; D006469:Hemoptysis / Q000209:etiology / Q000601:surgery; D006801:Humans; D007917:Leprostatic Agents / Q000627:therapeutic use; D011379:Prognosis; D012293:Rifampin / Q000627:therapeutic use; D015607:Stents; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000209:etiology / Q000601:surgery*
D004791:Enzyme Inhibitors; D007917:Leprostatic Agents; D012293:Rifampin