title: Alternative Treatment for Residual Aortobronchial Fistula After Thoracic Endovascular Aortic Repair.
abstract: A patient with an aortobronchial fistula secondary to a thoracic endovascular aortic repair was successfully treated with a re-thoracic endovascular aortic repair with debranching technique. Five months postoperatively, the aneurysm had shrunk; however, computed tomography revealed air in the thrombo-excluded aortic aneurysmal sac without signs of infection. Because of worsening air finding at the eighth month, we performed a resection of the residual fistula and wrapped the stent graft in a pedicled muscle flap.
authors.affiliation: From the Departments of *Cardiovascular Surgery, †Thoracic Surgery, and ‡Plastic and Reconstructive Surgery, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
authors.forename: Kosuke
authors.initials: K
authors.lastname: Ujihira
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Kurimoto
authors.forename: Ryushi
authors.initials: R
authors.lastname: Maruyama
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Iba
authors.forename: Naritomo
authors.initials: N
authors.lastname: Nishioka
authors.forename: Akira
authors.initials: A
authors.lastname: Yamada
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Nakanishi
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kato
authors.forename: Masaru
authors.initials: M
authors.lastname: Abe
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Narita
authors.forename: Masayuki
authors.initials: M
authors.lastname: Osawa
mesh_terms: D001013:Aorta, Thoracic / Q000601:surgery*; D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D057510:Endovascular Procedures / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome