Two-stage safe repair of aortobronchial fistula.
Aortobronchial fistulas are a rare and frequently misdiagnosed cause of massive hemoptysis, which is often fatal. Aortic stent grafts now allow for a safer emergency repair. However, there is a high (40% to 50%) recurrence risk, with a high fatality rate. A patient with an aortobronchial fistula due to a ruptured thoracic aortic aneurysm underwent a two-stage repair. An aortic stent graft was deployed as an emergency, and a second surgical durable repair was performed 4 months later. The patient recovered well. The best management of aortobronchial fistula may be emergency use of stent graft, followed by a delayed durable open repair when the patient has achieved stability.
De Rango
Paola
P
Division of Vascular and Endovascular Surgery, University of Perugia, Ospedale S. Maria della Misericordia, Perugia, Italy.
Estrera
Anthony L
AL
Azizzadeh
Ali
A
Keyhani
Kourosh
K
Safi
Hazim J
HJ
D000009:Abdominal Muscles / Q000637:transplantation; D000792:Angiography; D001013:Aorta, Thoracic; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D001980:Bronchi / Q000601:surgery*; D001983:Bronchial Fistula / Q000175:diagnosis / Q000601:surgery*; D001999:Bronchoscopy; D005500:Follow-Up Studies; D006801:Humans; D007366:Intercostal Muscles / Q000637:transplantation; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000175:diagnosis / Q000601:surgery*