Delayed diagnosis of hemoptysis in the case of prior aortic coarctation repair: A case report of aortobronchial fistula

We report a case of a 46-year old man who presented with spontaneous bright red blood per mouth for several months. The patient had history of aortic coarctation repair at age 17. Endoscopy and nasopharyngeoscopy revealed no source of bleeding. Computed tomography scan revealed the presence of thora...

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Autores principales: Kansal, Vinay, Nagpal, Sudhir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681956/
https://www.ncbi.nlm.nih.gov/pubmed/26744654
http://dx.doi.org/10.1016/j.rmcr.2015.07.004
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author Kansal, Vinay
Nagpal, Sudhir
author_facet Kansal, Vinay
Nagpal, Sudhir
author_sort Kansal, Vinay
collection PubMed
description We report a case of a 46-year old man who presented with spontaneous bright red blood per mouth for several months. The patient had history of aortic coarctation repair at age 17. Endoscopy and nasopharyngeoscopy revealed no source of bleeding. Computed tomography scan revealed the presence of thoracic aortic pseudoaneurysm with the formation of an aortobronchial fistula (ABF). This case illustrates the high index of suspicion for ABF in the case of hemoptysis or hematemesis with prior history of coarctation repair. Furthermore, we discuss the role of thoracic endovascular aneurysm repair (TEVAR) as the standard of repair over open surgery.
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spelling pubmed-46819562016-01-07 Delayed diagnosis of hemoptysis in the case of prior aortic coarctation repair: A case report of aortobronchial fistula Kansal, Vinay Nagpal, Sudhir Respir Med Case Rep Case Report We report a case of a 46-year old man who presented with spontaneous bright red blood per mouth for several months. The patient had history of aortic coarctation repair at age 17. Endoscopy and nasopharyngeoscopy revealed no source of bleeding. Computed tomography scan revealed the presence of thoracic aortic pseudoaneurysm with the formation of an aortobronchial fistula (ABF). This case illustrates the high index of suspicion for ABF in the case of hemoptysis or hematemesis with prior history of coarctation repair. Furthermore, we discuss the role of thoracic endovascular aneurysm repair (TEVAR) as the standard of repair over open surgery. Elsevier 2015-07-15 /pmc/articles/PMC4681956/ /pubmed/26744654 http://dx.doi.org/10.1016/j.rmcr.2015.07.004 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kansal, Vinay
Nagpal, Sudhir
Delayed diagnosis of hemoptysis in the case of prior aortic coarctation repair: A case report of aortobronchial fistula
title Delayed diagnosis of hemoptysis in the case of prior aortic coarctation repair: A case report of aortobronchial fistula
title_full Delayed diagnosis of hemoptysis in the case of prior aortic coarctation repair: A case report of aortobronchial fistula
title_fullStr Delayed diagnosis of hemoptysis in the case of prior aortic coarctation repair: A case report of aortobronchial fistula
title_full_unstemmed Delayed diagnosis of hemoptysis in the case of prior aortic coarctation repair: A case report of aortobronchial fistula
title_short Delayed diagnosis of hemoptysis in the case of prior aortic coarctation repair: A case report of aortobronchial fistula
title_sort delayed diagnosis of hemoptysis in the case of prior aortic coarctation repair: a case report of aortobronchial fistula
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681956/
https://www.ncbi.nlm.nih.gov/pubmed/26744654
http://dx.doi.org/10.1016/j.rmcr.2015.07.004
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