Document Detail


Pseudoaneurysm and aortobronchial fistula after surgical bypass for aortic coarctation: management with endovascular stent-graft.
MedLine Citation:
PMID:  11552735     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report the endovascular repair of an aortobronchial fistula at the distal anastomosis of a complex thoracic graft. CASE REPORT: A 61-year-old man operated 18 years prior for aortic coarctation presented with hemoptysis. An aortobronchial fistula was suspected, but spiral computed tomography and angiography showed only a small pseudoaneurysm at the distal anastomosis without revealing the fistulous tract. A Talent stent-graft was successfully deployed through a femoral access, but the large delivery system injured the external iliac artery, producing a retroperitoneal hemorrhage. Prompt balloon occlusion of the aorta and subsequent bypass graft repair of the arterial injury prevented serious sequelae. The patient recovered without further complications. Follow-up imaging to 2 years has documented exclusion of the pseudoaneurysm with no hemoptysis or signs of new false aneurysm formation. CONCLUSIONS: Endovascular exclusion of anastomotic pseudoaneurysms even in complicated cases can be an efficient treatment option, but the procedure must be carefully planned and executed in order to achieve good results.
Authors:
T Smayra; P Otal; P Soula; V Chabbert; A Cérène; F Joffre; H Rousseau
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  8     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-09-12     Completed Date:  2002-01-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  422-8     Citation Subset:  IM    
Affiliation:
Department of Radiology, Hôpital Rangueil, Toulouse, France.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Aneurysm, False / diagnosis,  etiology*
Aortic Aneurysm, Thoracic / diagnosis,  etiology*
Aortic Coarctation / complications*,  surgery*
Bronchial Fistula / diagnosis,  etiology*
Diagnosis, Differential
Hemoptysis / etiology
Humans
Male
Middle Aged
Stents
Tomography, X-Ray Computed
Vascular Fistula / diagnosis,  etiology*
Vascular Surgical Procedures / instrumentation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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