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The Annals of Thoracic Surgery, Vol 50, 975-977, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Aortobronchial fistula after an aortic operation

Y Ishizaki, Y Tada, A Takagi, O Sato, Y Takayama, M Shirakawa and Y Idezuki
Second Department of Surgery, Faculty of Medicine, University of Tokyo, 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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