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Ann Thorac Surg 1984;38:402-405
© 1984 The Society of Thoracic Surgeons

Articles

Aortobronchial Fistula: A Late Complication of Division of the Persistent Ductus Arteriosus

A.E. Wood, F.R.C.S.(I), H.M. Stevenson, F.R.C.S., J. Cleland, F.R.C.S.*

Department of Cardiac and Thoracic Surgery, Royal Victoria Hospital, Belfast, Northern Ireland

Accepted for publication January 20, 1984.

* Address reprint requests to Dr. Cleland, Department of Cardiac Surgery, Royal Victoria Hospital, Grosvenor Rd, Belfast BT12 6BA, Northern Ireland

An 11-year-old girl had nearly fatal hemoptysis due to false aneurysm and aortobronchial fistula following ductus division 9 years previously. Silk suture material was implicated as a causative agent in association with dilation of the aortic isthmus. To our knowledge, no previous report of this complication exists in the literature. Twenty-two cases of false aneurysm have been described, 86.3% following ligation. The use of elective hypotension during ligation and monofilament suture during division may prevent this serious late complication in the future.




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