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Ann Thorac Surg 1999;67:539-541
© 1999 The Society of Thoracic Surgeons


Case Reports

Aortobronchial fistula after coarctation repair and blunt chest trauma

Aldo Milano, MDa, Marco De Carlo, MDa, Alfredo Mussi, MDb, Fabio Falaschi, MDc, Uberto Bortolotti, MDa

a Division of Cardiac Surgery, Department of Cardiology, Angiology and Pneumology, University of Pisa Medical School, Pisa, Italy
b Division of Thoracic Surgery, Department of Surgery, University of Pisa Medical School, Pisa, Italy
c Department of Radiology, University of Pisa Medical School, Pisa, Italy

Accepted for publication July 16, 1998.

Address reprint requests to Dr Bortolotti, U.O. Cardiochirurgia, Ospedale Cisanello, Via Paradisa 2, 56124 Pisa, Italy
e-mail: u.bortolotti{at}cardchir.med.unipi.it

A 34-year-old man had development of an aortobronchial fistula 17 years after patch aortoplasty for correction of aortic coarctation and 5 years after blunt chest trauma, an unusual combination of predisposing factors. The clinical presentation, characterized by dysphonia and recurrent hemoptysis, and the surgical findings suggested the posttraumatic origin of the fistula, which was successfully managed by aortic resection and graft interposition under simple aortic cross-clamping, associated with partial pulmonary lobectomy. When hemoptysis occurs in a patient with a history of an aortic thoracic procedure, the presence of an aortobronchial fistula should be suspected. Early diagnosis offers the only possibility of recovery through a lifesaving surgical procedure.




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