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Atsuhiko Takagi
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Ann Thorac Surg 1990;50:975-977
© 1990 The Society of Thoracic Surgeons

Articles

Aortobronchial fistula after an aortic operations

Yoichi Ishizaki, MD*, Yusuke Tada, MD, Atsuhiko Takagi, MD, Osamu Sato, MD, Yutaka Takayama, MD, Motoaki Shirakawa, MD, Yasuo Idezuki, MD

Second Department of Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan

Accepted for publication July 13, 1990.

* Address reprint requests to Dr Ishizaki, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113, Japan.

A 71-year-old man with a postoperative aortobronchial fistula was successfully treated. The fistula occurred between the left lower lobe and the descending thoracic aorta, to which a distal anastomosis of a temporary bypass graft had been placed during thoracic aortic aneurysmectomy 3 years before. For saving patients with this complication, early surgical treatment during episodes of intermittent hemoptysis is important. The use of an omentum pedicle flap for the isolation of the suture line is a important adjunct.




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