title: Repair of a bronchovascular fistula four years after right carinal pneumonectomy.
abstract: Bronchovascular fistula is a rare but serious complication that usually presents with massive hemoptysis and is associated with a high risk of mortality. Factors leading to the development of the fistula include altered bronchial anastomotic healing, presence of granulation tissue, devascularization of the bronchial tree, ischemia of the airway, and poor anastomotic technique. Bronchovascular fistulae usually occur in the early postoperative period and are reported in 1% to 3% of the patients undergoing a bronchoplastic procedure. We report the case of a 53-year-old woman who presented with massive hemoptysis secondary to a bronchovascular fistula 4 years after right carinal pneumonectomy.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, Quebec, Canada.
authors.forename: Jessica
authors.initials: J
authors.lastname: Forcillo
authors.forename: Moishe
authors.initials: M
authors.lastname: Liberman
authors.forename: Andrei
authors.initials: A
authors.lastname: Gorgos
authors.forename: Pasquale
authors.initials: P
authors.lastname: Ferraro
mesh_terms: D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D001999:Bronchoscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects* / Q000379:methods; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery