Endovascular management of an acquired aortobronchial fistula following aortic bypass for coarctation.
Aortobronchial fistula (ABF) in the setting of aortic coarctation repair is very rare but uniformly fatal if untreated. Endovascular stenting of the descending aorta is now the first-choice approach for ABF presenting with haemoptysis and offers a less-invasive technique with improved outcomes, compared with open repair. We report a case of late ABF occurring following bypass for aortic coarctation. Management focused on two key manoeuvres: use of a covered endovascular stent to occlude the aortic bypass thus controlling the fistula and dilatation and stenting of native coarctation.
Department of Cardiothoracic Surgery, Mater Hospital, Dublin, Ireland.
Katie E
KE
O'Sullivan
Ferdia
F
Bolster
Leo P
LP
Lawler
John
J
Hurley
D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon / Q000295:instrumentation; D001017:Aortic Coarctation / Q000175:diagnosis / Q000601:surgery*; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D001983:Bronchial Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*
Aorta; Coarctation; Endovascular; Fistula