Venous-Airway Fistula With Aspergilloma: A Case of an Implanted Catheter Gone Bad.
The implanted venous access catheter is commonly used in the treatment of oncology patients. Although common long-term complications of these devices, such as infection and thrombosis, have been widely reported, venous-airway fistula due to port placement is an extremely rare and poorly understood complication. We report a case of a 56-year-old woman with pancreatic adenocarcinoma whose implanted catheter was complicated by the development of an azygo-bronchial fistula with a concomitant aspergilloma. Herein is the first reported case of successful venous-airway fistula closure obtained through silicone stenting.
*Georgetown University School of Medicine †Interventional Pulmonology Program, Division of Pulmonary, Critical Care, Georgetown University Medical Center, Washington, DC.
Maryam
M
Nilforoshan
Ismael
I
Matus
D000230:Adenocarcinoma / Q000473:pathology; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D001401:Azygos Vein / Q000473:pathology*; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000382:microbiology / Q000473:pathology*; D001999:Bronchoscopy / Q000295:instrumentation* / Q000379:methods; D002408:Catheters, Indwelling / Q000009:adverse effects* / Q000382:microbiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000473:pathology; D012828:Silicones / Q000627:therapeutic use; D015607:Stents / Q000706:statistics & numerical data; D015898:Tomography Scanners, X-Ray Computed; D016896:Treatment Outcome; D065819:Voriconazole / Q000627:therapeutic use
D000935:Antifungal Agents; D012828:Silicones; D065819:Voriconazole