Alternative Treatment for Residual Aortobronchial Fistula after Thoracic Endovascular Aortic Repair

Author(s):  
Kosuke Ujihira ◽  
Yoshihiko Kurimoto ◽  
Ryushi Maruyama ◽  
Yutaka Iba ◽  
Naritomo Nishioka ◽  
...  
Author(s):  
Kosuke Ujihira ◽  
Yoshihiko Kurimoto ◽  
Ryushi Maruyama ◽  
Yutaka Iba ◽  
Naritomo Nishioka ◽  
...  

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.


2013 ◽  
Vol 96 (3) ◽  
pp. 1117-1121 ◽  
Author(s):  
Ludovic Canaud ◽  
Baris Ata Ozdemir ◽  
Sandeep Bahia ◽  
Robert Hinchliffe ◽  
Ian Loftus ◽  
...  

Author(s):  
Rajesh Vijayvergiya ◽  
Ganesh Kasinadhuni ◽  
Pruthvi C Revaiah ◽  
Anupam Lal ◽  
Ashish Sharma ◽  
...  

Abstract Background Aortobronchial fistula (ABF) formation following the rupture of thoracic pseudoaneurysm is a rare clinical entity. Its aetiology includes atherosclerosis, infections, trauma, post-surgery, and post-endovascular aortic repair. The clinical presentation of ABF includes intermittent or massive haemoptysis, acute respiratory distress, hypotension, and even death. These patients require an emergency aortic intervention to stop active haemorrhage. Thoracic endovascular aortic repair (TEVAR) is a less invasive, safe, and effective treatment compared to conventional open surgical repair Case summary We hereby report three cases of ruptured descending thoracic aortic pseudoaneurysms resulting in a fistula formation. The first two cases had tuberculosis as their underlying aetiology, while the third case was the result of previous open post-aortic surgery. All patients presented with massive haemoptysis and were successfully treated by emergency TEVAR and had favourable outcomes. Discussion Thoracic endovascular aortic repair is a rapid, less invasive, and effective treatment for emergency management of ABF. It has more than 85% technical success rates in the reported literature. We had procedural success in all three cases. The short and midterm outcome of ABF following TEVAR is favourable and encouraging.


2020 ◽  
Vol 13 ◽  
pp. 117954762093907
Author(s):  
Natsuya Ishikawa ◽  
Aina Hirofuji ◽  
Naohiro Wakabayashi ◽  
Sentaro Nakanishi ◽  
Hiroyuki Kamiya

Hemoptysis after thoracic endovascular/open aortic repair is relatively rare but a well-known complication, and normally diagnosed with aortobronchial fistula (ABF). Here, we present a patient who suffered from recurrent massive hemoptyses even after multiple thoracic endovascular aortic repairs (TEVARs), where hemoptysis was ultimately controlled by pneumonectomy. In this case, the bleeding source was not the aorta but the lung parenchyma itself, indicating the importance of raising awareness that the cause of massive hemoptysis after TEVAR may not always be an ABF.


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