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Endovascular Repair of Aortobronchial Fistula due to Saccular Aneurysm of Thoracic Aorta. Case Rep Vasc Med 2017; 2017:3158693. [PMID: 29279784 PMCID: PMC5723941 DOI: 10.1155/2017/3158693] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Accepted: 11/09/2017] [Indexed: 12/01/2022] Open
Abstract
Aortobronchial fistula (ABF) is a rare condition which can be lethal if left untreated. Open surgical treatment carries high morbidity and mortality. Recent advances in endovascular technology have made thoracic endovascular aortic repair (TEVAR) the treatment of choice. We present a successful endovascular repair of aortobronchial fistula due to a saccular aneurysm of descending thoracic aorta.
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Matos JM, de la Cruz KI, Ouzounian M, Preventza O, LeMaire SA, Coselli JS. Endovascular repair as a bridge to surgical repair of an aortobronchial fistula complicating chronic residual aortic dissection. Tex Heart Inst J 2014; 41:198-202. [PMID: 24808784 DOI: 10.14503/thij-12-2901] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Endovascular and open surgical repair have been used in patients with descending thoracic aortic dissection; however, the appropriate treatment is debated. We describe the case of a 60-year-old woman who had a symptomatic, chronic, residual, descending thoracic aortic dissection that was complicated by an aortobronchial fistula. She underwent emergent thoracic endovascular stent-grafting but remained symptomatic. Computed tomographic angiograms showed a contained rupture into the lower lobe of the left lung. The patient underwent definitive surgery to remove the stents, reconstruct the aorta, and resect the nonviable lung tissue. The remainder of her postoperative course was uneventful, and she was discharged from the hospital 13 days after the 2nd operation. Results of genetic testing confirmed an earlier presumptive diagnosis of Marfan syndrome. In an emergency, the best initial option for patients with a complicated descending thoracic aortic dissection might be thoracic endovascular aortic repair, which could serve as a bridge to definitive open repair.
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Affiliation(s)
- Jesus M Matos
- Divisions of Vascular Surgery (Dr. Matos) and Cardiothoracic Surgery (Drs. Coselli, de la Cruz, LeMaire, Ouzounian, and Preventza), Michael E. DeBakey Department of Surgery, Baylor College of Medicine; and Department of Cardiovascular Surgery (Drs. Coselli, de la Cruz, LeMaire, Ouzounian, and Preventza), Texas Heart Institute; Houston, Texas 77030
| | - Kim I de la Cruz
- Divisions of Vascular Surgery (Dr. Matos) and Cardiothoracic Surgery (Drs. Coselli, de la Cruz, LeMaire, Ouzounian, and Preventza), Michael E. DeBakey Department of Surgery, Baylor College of Medicine; and Department of Cardiovascular Surgery (Drs. Coselli, de la Cruz, LeMaire, Ouzounian, and Preventza), Texas Heart Institute; Houston, Texas 77030
| | - Maral Ouzounian
- Divisions of Vascular Surgery (Dr. Matos) and Cardiothoracic Surgery (Drs. Coselli, de la Cruz, LeMaire, Ouzounian, and Preventza), Michael E. DeBakey Department of Surgery, Baylor College of Medicine; and Department of Cardiovascular Surgery (Drs. Coselli, de la Cruz, LeMaire, Ouzounian, and Preventza), Texas Heart Institute; Houston, Texas 77030
| | - Ourania Preventza
- Divisions of Vascular Surgery (Dr. Matos) and Cardiothoracic Surgery (Drs. Coselli, de la Cruz, LeMaire, Ouzounian, and Preventza), Michael E. DeBakey Department of Surgery, Baylor College of Medicine; and Department of Cardiovascular Surgery (Drs. Coselli, de la Cruz, LeMaire, Ouzounian, and Preventza), Texas Heart Institute; Houston, Texas 77030
| | - Scott A LeMaire
- Divisions of Vascular Surgery (Dr. Matos) and Cardiothoracic Surgery (Drs. Coselli, de la Cruz, LeMaire, Ouzounian, and Preventza), Michael E. DeBakey Department of Surgery, Baylor College of Medicine; and Department of Cardiovascular Surgery (Drs. Coselli, de la Cruz, LeMaire, Ouzounian, and Preventza), Texas Heart Institute; Houston, Texas 77030
| | - Joseph S Coselli
- Divisions of Vascular Surgery (Dr. Matos) and Cardiothoracic Surgery (Drs. Coselli, de la Cruz, LeMaire, Ouzounian, and Preventza), Michael E. DeBakey Department of Surgery, Baylor College of Medicine; and Department of Cardiovascular Surgery (Drs. Coselli, de la Cruz, LeMaire, Ouzounian, and Preventza), Texas Heart Institute; Houston, Texas 77030
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