Endovascular stenting of an aortopulmonary fistula presenting with hemoptysis. A case report.

Abstract

We present a 45 year old man with massive hemoptysis due to an aortopulmonary fistula. Our patient had a history of a previous patent ductus arteriosus repair which was complicated by a previous aortopulmonary fistula. Computed tomography of the chest and aortography made the diagnosis of a recurrent aortopulmonary fistula. Because of the history of previous surgical aortic procedures, repair of the fistula was completed through a retroperitoneal aortotomy with intravascular insertion of an expandable stainless steel stent covered by a polyester graft. The patient has had no hemoptysis or computed tomographic evidence of fistula recurrence thirty eight months after the procedure.

• Authors: A C Campagna, J H Wehner, C M Kirsch, C P Semba, F T Kagawa, W A Jensen, M D Dake
• Journal: The Journal of cardiovascular surgery (J Cardiovasc Surg (Torino)) Vol. 37 Issue 6 Pg. 643-6 (Dec 1996) ISSN: 0021-9509 [Print] Italy
• PMID: 9016985 (Publication Type: Case Reports, Journal Article)

Topics

• Aneurysm, False (complications, surgery)
• Aorta, Thoracic
• Aortic Aneurysm, Thoracic (complications, surgery)
• Arterio-Arterial Fistula (complications, surgery)
• Hemoptysis (etiology)
• Humans
• Male
• Middle Aged
• Pulmonary Artery
• Stents