Korean J Thorac Cardiovasc Surg.  2007 Aug;40(8):578-581.

Descending Aorto-bronchial Fistula after Ascending Aorta Graft Interposition for Type I Acute Aortic Dissection

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Dankook University, Korea. pwseo@dankook.ac.kr
  • 2Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook University, Korea.

Abstract

A 59-year old female patient was admitted due to massive hemoptysis. 6-months previously, we performed ascending aorta graft interposition for terating Debakey type 1 acute aortic dissection. Chest CT scan showed the fistula between the descending thoracic aorta and the left lower lobe. We performed descending thoracic aorta graft interposition under cardiopulmonary bypass. She recovered well without any postoperative problems. Distal aorto-bronchial fistula after a previous aortic operation is very rare. We report here the good results of treating aorto-bronchial fistula because we recognized this lesion early and performed an early operation.

Keyword

Aortic dissection; Fistula; Bronchus; Postoperative complications

MeSH Terms

Aorta*
Aorta, Thoracic
Bronchi
Cardiopulmonary Bypass
Female
Fistula*
Hemoptysis
Humans
Middle Aged
Postoperative Complications
Tomography, X-Ray Computed
Transplants*
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