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Recurrent Aortobronchial Fistula after Endovascular Stenting for Infected Pseudoaneurysm of the Proximal Descending Thoracic Aorta: Case Report

Aortobronchial fistula (ABF) induced by an infected pseudoaneurysm of the thoracic aorta is a life-threatening condition. As surgical treatment is associated with significant mortality and morbidity, thoracic endovascular aneurysm repair (TEVAR) may be an alternative for the treatment of ABF. Howeve...

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Autores principales: Lee, Sun-Geun, Lee, Seung Hyong, Park, Won Kyoun, Kim, Dae Hyun, Song, Jae Won, Cho, Sang-Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8548198/
https://www.ncbi.nlm.nih.gov/pubmed/33767025
http://dx.doi.org/10.5090/jcs.20.138
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author Lee, Sun-Geun
Lee, Seung Hyong
Park, Won Kyoun
Kim, Dae Hyun
Song, Jae Won
Cho, Sang-Ho
author_facet Lee, Sun-Geun
Lee, Seung Hyong
Park, Won Kyoun
Kim, Dae Hyun
Song, Jae Won
Cho, Sang-Ho
author_sort Lee, Sun-Geun
collection PubMed
description Aortobronchial fistula (ABF) induced by an infected pseudoaneurysm of the thoracic aorta is a life-threatening condition. As surgical treatment is associated with significant mortality and morbidity, thoracic endovascular aneurysm repair (TEVAR) may be an alternative for the treatment of ABF. However, the long-term durability of this intervention is largely unknown and the recurrence of ABF is a potential complication. We experienced a case of recurrent ABF after stent grafting as an early procedure for an infected pseudoaneurysm of the thoracic aorta. Remnant ABF, bronchial and/or aortic wall erosion, vasa vasorum connected with ABF, and recurrent local inflammation of the thin aortic wall around ABF might cause recurrent hemoptysis. As a result, we suggest that TEVAR should be considered as a bridge therapy for the initial treatment of ABF resulting from an infected pseudoaneurysm, and that several options, such as second-stage surgery, should be considered to prevent the recurrence of ABF.
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spelling pubmed-85481982021-11-05 Recurrent Aortobronchial Fistula after Endovascular Stenting for Infected Pseudoaneurysm of the Proximal Descending Thoracic Aorta: Case Report Lee, Sun-Geun Lee, Seung Hyong Park, Won Kyoun Kim, Dae Hyun Song, Jae Won Cho, Sang-Ho J Chest Surg Case Report Aortobronchial fistula (ABF) induced by an infected pseudoaneurysm of the thoracic aorta is a life-threatening condition. As surgical treatment is associated with significant mortality and morbidity, thoracic endovascular aneurysm repair (TEVAR) may be an alternative for the treatment of ABF. However, the long-term durability of this intervention is largely unknown and the recurrence of ABF is a potential complication. We experienced a case of recurrent ABF after stent grafting as an early procedure for an infected pseudoaneurysm of the thoracic aorta. Remnant ABF, bronchial and/or aortic wall erosion, vasa vasorum connected with ABF, and recurrent local inflammation of the thin aortic wall around ABF might cause recurrent hemoptysis. As a result, we suggest that TEVAR should be considered as a bridge therapy for the initial treatment of ABF resulting from an infected pseudoaneurysm, and that several options, such as second-stage surgery, should be considered to prevent the recurrence of ABF. The Korean Society for Thoracic and Cardiovascular Surgery 2021-10-05 2021-01-21 /pmc/articles/PMC8548198/ /pubmed/33767025 http://dx.doi.org/10.5090/jcs.20.138 Text en Copyright © The Korean Society for Thoracic and Cardiovascular Surgery. 2021. All right reserved. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Sun-Geun
Lee, Seung Hyong
Park, Won Kyoun
Kim, Dae Hyun
Song, Jae Won
Cho, Sang-Ho
Recurrent Aortobronchial Fistula after Endovascular Stenting for Infected Pseudoaneurysm of the Proximal Descending Thoracic Aorta: Case Report
title Recurrent Aortobronchial Fistula after Endovascular Stenting for Infected Pseudoaneurysm of the Proximal Descending Thoracic Aorta: Case Report
title_full Recurrent Aortobronchial Fistula after Endovascular Stenting for Infected Pseudoaneurysm of the Proximal Descending Thoracic Aorta: Case Report
title_fullStr Recurrent Aortobronchial Fistula after Endovascular Stenting for Infected Pseudoaneurysm of the Proximal Descending Thoracic Aorta: Case Report
title_full_unstemmed Recurrent Aortobronchial Fistula after Endovascular Stenting for Infected Pseudoaneurysm of the Proximal Descending Thoracic Aorta: Case Report
title_short Recurrent Aortobronchial Fistula after Endovascular Stenting for Infected Pseudoaneurysm of the Proximal Descending Thoracic Aorta: Case Report
title_sort recurrent aortobronchial fistula after endovascular stenting for infected pseudoaneurysm of the proximal descending thoracic aorta: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8548198/
https://www.ncbi.nlm.nih.gov/pubmed/33767025
http://dx.doi.org/10.5090/jcs.20.138
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