Management of aortobronchial fistula developing 27 years after open aortic surgery by means of endovascular stent grafting.

摘要

Fistulous connections between the thoracic aorta and the bronchial systems are rare but potentially fatal complications. However, reports are limited and guidelines for diagnosis and treatment are not available. Most often, patients have a history of reconstructive vascular surgery followed by anastomotic aneurysm or dissection. Aortobronchial fistulas (ABFs) regularly present with mild to massive hemoptysis and chest pain.l Given the high mortality of untreated patients, immediate patient management with either open surgery or endovascular repair is essential. We present the case of an ABF occurring 27 years after open surgical repair because of a false aortic aneurysm.