Original Article

Endovascular Treatment of Aortobronchial Fistula Secondary to Coronary Artery Bypass Graft (CABG)

Abstract

Aortobronchial fistula (ABF) is a rare and late complication of cardiac surgery. If untreated, mortality rate is approximately 100% secondary to exsanguinations haemoptysis. Early diagnosis and treatment are essential for successful management. Open surgical repair is associated with high morbidity and mortality rate, ranging from 25% to 41%. Endovascular treatments of ABF is a less invasive treatment modality and have become an important alternative to open surgical intervention in aortic pathologies. We present a case of ABF that successfully is managed by endovascular approach.

Girardet A. Doppelte perforation eines tuberkelknotens in die aorta undo die bifurcation der trachea. Dtsch Med Wochenschr 1914;40:1425-28. [in Dutchland]

Chuter TA, Ivancev K, Lindblad B, Brunkwall J, Arén C, Risberg B. Endovascular stent-graft exclusion of an aortobronchial fistula. J Vasc Interv Radiol 1996;7(3):357-9.

Picichè M, De Paulis R, Fabbri A, Chiariello L. Postoperative aortic fistulas into the airways: etiology, pathogenesis, presentation, diagnosis, and management. Ann Thorac Surg 2003;75(6):1998-2006.

Numan F, Arbatli H, Yağan N, Demirsoy E, Sönmez B. Endovascular treatment of an aortobronchial fistula. Cardiovasc Intervent Radiol 2004;27(1):71-3.

MacIntosh EL, Parrott JC, Unruh HW. Fistulas between the aorta and tracheobronchial tree. Ann Thorac Surg 1991;51(3):515-9.

Pirrelli S, Bozzani A, Arici V, Odero A. Endovascular treatment of acute haemoptysis secondary to aortobronchial fistula. Eur J Vasc Endovasc Surg 2006;32(4):366-8.

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IssueVol 48, No 2 (2010) QRcode
SectionOriginal Article(s)
Keywords
Aortobronchial fistula pseudoaneurysm postoperative haemoptysis endovascular treatment

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How to Cite
1.
Forouzannia SK, Abdollahi MH, Mirhosseini SJ, Moshtaghion SH, Hosseini H, Dehghani M, Mirshamsi MH. Endovascular Treatment of Aortobronchial Fistula Secondary to Coronary Artery Bypass Graft (CABG). Acta Med Iran. 1;48(2):130-132.