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    
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.
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    
Department of Radiology, Hôpital Rangueil, Toulouse, France.
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MeSH Terms
Anastomosis, Surgical
Aneurysm, False / diagnosis,  etiology*
Aortic Aneurysm, Thoracic / diagnosis,  etiology*
Aortic Coarctation / complications*,  surgery*
Bronchial Fistula / diagnosis,  etiology*
Diagnosis, Differential
Hemoptysis / etiology
Middle Aged
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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