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Ann Thorac Surg 2000;70:964-966
© 2000 The Society of Thoracic Surgeons

Case report

Aortobronchial fistula late after transverse arch replacement

Minoru Ono, MDa, Shinichi Takamoto, MDa, Motohiro Kawauchi, MDa, Jun Egami, MDa, Yutaka Kotsuka, MDa

a Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan

Address reprint requests to Dr Ono, Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo Bunkyo-ku, Tokyo, 113-8655, Japan

We report an unusual case of aortobronchial fistula late after transverse arch replacement caused by the remnant of a temporary bypass near the ascending aorta. In reconstructive surgery of the ascending aorta, antegrade perfusion is preferably performed through a side branch after completion of the distal anastomosis by some surgeons. This report suggests possible risk of a serious late complication unless the side branch is placed and tailored properly.




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