Successful Repair of Aortobronchial Fistula Using Circulatory Arrest

Bhuyan, Ritwick Raj; Rajendran, Sunil; Unnikrishnan, Madhathipat; Karunakaran, Jayakumar

doi:10.1111/j.1445-2197.2007.04075.x

Cited by 3 publications

(2 citation statements)

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“…The treatment of PSAs complicated with ABF gradually increased in complexity over time, from direct closure of the aorta [ 20 ], to interposition of synthetic grafts [ 22 , 24 , 27 , 29 , 30 , 31 , 38 , 44 , 45 ], extra-anatomic bypasses with or without resection of the native descending thoracic aorta [ 30 , 31 , 35 ], concomitant multiple endovascular procedures (TEVAR associated with coil embolization and occlusion with transcatheter devices) [ 23 , 41 ], and hybrid approaches combining TEVAR (±other endovascular procedures) with closed-chest debranching and surgical bypasses [ 12 , 13 ]. Our case is the 3rd hybrid approach reported and the first in a SARS-CoV-2 patient.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Management of an Aortobronchial Fistula after Patch Aortoplasty for Aortic Coarctation in a Patient with SARS-CoV-2 Pneumonia: Case Report and Review of the Literature

et al. 2022

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Aortobronchial fistula is a rare cause of repeated hemoptysis and a potentially fatal condition if left untreated. We present the case of a 40-year-old man with repeated hemoptysis, excessive cough, and epistaxis ongoing for several days after SARS-CoV-2 pneumonia diagnosis. The patient had a history of patch aortoplasty for aortic coarctation and aortic valve replacement with a mechanical valve for aortic insufficiency due to bicuspid aortic valve at the age of 24. Computed tomography scan performed at presentation revealed a severely dilated ascending aorta, a thoracic aorta pseudoaneurysm at the site of the former coarctation, an aortobronchial fistula suggested by the thickened left lower lobe apical segmental bronchus in contact with the pseudoaneurysm and signs of alveolar hemorrhage in the respective segment. The patient was treated with thoracic endovascular aneurysm repair (TEVAR) after prior hemi-aortic arch debranching and transposition of the left common carotid artery and subclavian artery through a closed-chest surgical approach. Our case report together with a systematic review of the literature highlight the importance of both considering an aortobronchial fistula in the differential diagnosis of hemoptysis in patients with prior history of thoracic aorta surgical intervention, regardless of associated pathology, and of taking into account endovascular and hybrid techniques as an alternative to open surgical repair, which carries a high risk of morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Hybrid Management of an Aortobronchial Fistula after Patch Aortoplasty for Aortic Coarctation in a Patient with SARS-CoV-2 Pneumonia: Case Report and Review of the Literature

et al. 2022

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“…In cases that are secondary to aortic surgical interventions, where prosthesis implants are involved, such as in the coarctation correction, aneurysms or pseudoaneurysms can occur in the prosthesis suture lines, either proximally or distally. The surgical correction of the aortic coarctation with the use of prosthesis or synthetic repair has a high risk of postoperative complications and reoperations [6][7][8] . Knyshov et al 7 studied the long-term outcomes (1 to 24 years) of the postoperative period of surgical correction of the aortic coarctation in 891 patients, showing that 48 patients (5.4%), with a mean age of 30 years, developed aneurysms in the repair site.…”

Section: Discussionmentioning

confidence: 99%