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J Thorac Cardiovasc Surg 2006;131:240-243
© 2006 The American Association for Thoracic Surgery

Brief Communication

Aortobronchial fistula after aortic coartactation

Alfonso L. Quintana, MD, PhD * , Esther Martínez Aguilar, MD, Alvaro Fernandez Heredero, MD, Vicente Riambau, MD, Laura Paul, MD, Francisco Acín, MD, PhD

Department of Angiology and Vascular Surgery, Getafe University Hospital, Madrid, Spain

Received for publication July 3, 2005; revisions received September 30, 2005; accepted for publication October 7, 2005.

* Address for reprints: Alfonso Lopez Quintana, MD, Department of Angiology and Vascular Surgery, Getafe University Hospital, Road Toledo 12,5 Km, Getafe, Madrid 28905, Spain (Email: esthermartinezaguilar@hotmail.com).

The first 20% of the full text of this article appears below.

Aortobronchial fistulas are an uncommon, but potentially fatal, complication of reconstructive surgery in the thoracic aorta. Endovascular treatment is a less-invasive technique and represents an alternative for the treatment of this disease, particularly when conditions are inadequate for open surgery. We report a case of an aortobronchial fistula occurring 15 years after surgery for aortic coarctation that was resolved by use of endovascular treatment.

Clinical Summary

A 47-year-old man was transferred to our department because of an episode of massive hemoptysis not requiring recovery measures. The patient had undergone surgery for an aortic coarctation 15 years before. In the last year, he had had several minor episodes of hemoptysis for which he was being monitored by the pneumology department.

An initial bronchoscopic examination showed glandular openings that filled with blood in the medial wall of the right main bronchus and a slow sheet bleeding from both left lobes. The chest computed tomographic (CT) report suggested an aortobronchial fistula (Figure 1, A), . . . [Full Text of this Article]




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