Document Detail


A bad experience with endovascular treatment of an aortobronchial fistula.
MedLine Citation:
PMID:  22269732     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 35-year-old woman presented with an aortobronchial fistula after polyester graft replacement of coarctation of the descending thoracic aortic. Treatment of the fistula included antibiotic therapy and stent graft placement. Life-threatening sepsis developed in the postoperative period. Subsequent treatment required excision of the infected graft complex with extra-anatomic reconstruction of the thoracic aorta. The patient had a very stormy postoperative course and required heroic measures, including mechanical circulatory support, to achieve survival. The present case demonstrates failure of endovascular therapy of an aortobronchial fistula. The case should serve as a cautious reminder that the underlying cause for infection remains even after apparent successful endovascular therapy.
Authors:
Altarabsheh Salah Eldien; Salil Deo; Francis C Nichols; Kevin L Greason
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  93     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-24     Completed Date:  2012-03-20     Revised Date:  2013-02-08    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  650-1     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aorta, Thoracic / surgery
Aortic Coarctation / surgery
Aortic Diseases / etiology,  surgery*
Blood Vessel Prosthesis / adverse effects*
Blood Vessel Prosthesis Implantation
Bronchial Fistula / etiology,  surgery*
Combined Modality Therapy
Device Removal
Endovascular Procedures*
Extracorporeal Membrane Oxygenation
Female
Fistula / etiology,  surgery*
Humans
Multiple Organ Failure / etiology
Postoperative Complications / etiology,  surgery*
Prosthesis-Related Infections / drug therapy,  etiology*,  radiography,  surgery
Reoperation
Shock, Septic / drug therapy,  etiology*,  surgery
Stents
Suture Techniques
Tomography, X-Ray Computed
Comments/Corrections
Comment In:
Ann Thorac Surg. 2013 Jan;95(1):381   [PMID:  23272871 ]
Ann Thorac Surg. 2013 Jan;95(1):381   [PMID:  23272872 ]
Ann Thorac Surg. 2013 Jan;95(1):381-2   [PMID:  23272870 ]

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


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