Endovascular stenting for primary aortobronchial fistula in association with massive hemoptysis.

Aortobronchial fistula is a potentially lethal complication secondary to the repair of a descending thoracic aneurysm or the placement of a prosthetic graft. Few cases have been reported. Very rarely, primary aortobronchial fistula occurs in a patient who has no history of cardiac surgical intervention. Herein, we present the cases of 2 patients whose massive, life-threatening bleeding from primary aortobronchial fistulae was successfully treated with endovascular stenting. Endovascular stenting is an emerging treatment method that can be used in this emergency setting with promising results and without early graft-related sequelae.

[1]  C. Delcour,et al.  Emergency endovascular treatment of an acute traumatic rupture of the thoracic aorta complicated by a distal low-flow syndrome , 1999, Cardiovascular and Interventional Radiology.

[2]  G. Wheatley,et al.  Have we gone too far? Endovascular stent-graft repair of aortobronchial fistulas. , 2007, The Journal of thoracic and cardiovascular surgery.

[3]  S. Pirrelli,et al.  Endovascular treatment of acute haemoptysis secondary to aortobronchial fistula. , 2006, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[4]  M. Matsumoto,et al.  Surgical treatment of five patients with aortobronchial fistula in the aortic arch. , 2004, The Annals of thoracic surgery.

[5]  D. Böckler,et al.  Endoluminal Stent-Graft Repair of Aortobronchial Fistulas: Bridging or Definitive Long-Term Solution? , 2004, Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists.

[6]  H. Rousseau,et al.  Endovascular treatment of thoracic aortic fistulas. , 2002, The Annals of thoracic surgery.

[7]  E. Diethrich,et al.  Endoluminal stent graft repair of aortobronchial fistulas. , 2002, Journal of vascular surgery.

[8]  A. Neufang,et al.  Endovascular treatment of acute bleeding complications in traumatic aortic rupture and aortobronchial fistula. , 2001, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[9]  M. Douglas,et al.  Immediate endovascular repair for descending thoracic aortic transection secondary to blunt trauma. , 2000, Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists.

[10]  T. Resch,et al.  Endovascular repair of descending thoracic aortic aneurysms: an early experience with intermediate-term follow-up. , 2000, Journal of vascular surgery.

[11]  R. Karmy-Jones,et al.  Management of aortobronchial fistula with an aortic stent-graft. , 1999, Chest.

[12]  T. Miyata,et al.  Endovascular stent graft repair of aortopulmonary fistula. , 1999, Journal of vascular surgery.

[13]  F. Veith,et al.  Endovascular approaches for traumatic arterial lesions. , 1997, Seminars in vascular surgery.

[14]  L. V. von Segesser,et al.  Aortobronchial and aortoesophageal fistulae as risk factors in surgery of descending thoracic aortic aneurysms. , 1997, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[15]  M. Turina,et al.  In situ repair of aortobronchial, aortoesophageal, and aortoenteric fistulae with cryopreserved aortic homografts. , 1997, Journal of vascular surgery.

[16]  M. Dake,et al.  Endovascular stenting of an aortopulmonary fistula presenting with hemoptysis. A case report. , 1996, The Journal of cardiovascular surgery.

[17]  C. Arén,et al.  Endovascular stent-graft exclusion of an aortobronchial fistula. , 1996, Journal of vascular and interventional radiology : JVIR.

[18]  J. Montero,et al.  Aortobronchial fistula secondary to chronic post-traumatic thoracic aneurysm. , 1996, Texas Heart Institute journal.

[19]  J. Favre,et al.  Aortobronchial fistula: report of three cases and review of the literature. , 1994, Surgery.

[20]  J. Parodi,et al.  Transfemoral intraluminal graft implantation for abdominal aortic aneurysms , 1991, Annals of vascular surgery.

[21]  J. Parrott,et al.  Fistulas between the aorta and tracheobronchial tree. , 1991, The Annals of thoracic surgery.