Document Detail

Fistulas between the aorta and tracheobronchial tree.
MedLine Citation:
PMID:  1998444     Owner:  NLM     Status:  MEDLINE    
Aortobronchial fistula is a rare condition that is invariably fatal if not diagnosed and surgically treated. With appropriate surgical intervention, survival rates greater than 70% can be achieved. A review of the literature and an illustrative case report are presented. A total of 63 fistulas in 62 patients have been described. The case we present is unusual in the use of serratus anterior muscle for repair of the fistula. Eighty-seven percent of the cases documented in the literature were associated with an aneurysm of the thoracic aorta. Eighty-six percent of the fistulas were between the descending aorta and left bronchopulmonary tree. More than 95% of patients experienced at least a single episode of hemoptysis, and massive hemoptysis occurred in more than half of the reported cases. A correct preoperative diagnosis was made in only 54% of cases. Plain chest radiographs definitively demonstrated an aneurysm in only 16%. The computed tomographic scan was the most rewarding test, identifying an aneurysm in 11 of 12 patients and the fistula in 50% of them. Surgical repair resulted in a 76% survival rate.
E L MacIntosh; J C Parrott; H W Unruh
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  51     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1991 Mar 
Date Detail:
Created Date:  1991-04-03     Completed Date:  1991-04-03     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  515-9     Citation Subset:  AIM; IM    
Department of Surgery, University of Manitoba, Winnipeg, Canada.
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MeSH Terms
Aged, 80 and over
Aorta, Thoracic
Aortic Diseases / diagnosis,  surgery*
Fistula / diagnosis,  surgery*
Tracheal Diseases / diagnosis,  surgery*

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