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Hratch L. Karamanoukian
Marco Ricci
Jacob Bergsland
Tomas A. Salerno
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Ann Thorac Surg 2000;70:1407-1409
© 2000 The Society of Thoracic Surgeons

Case report

Aortobronchial fistula after endovascular stent graft repair of the thoracic aorta

Kurt VonFricken, MDa, Hratch L. Karamanoukian, MDa, Marco Ricci, MDa, Abe Taheri, MDa, Jacob Bergsland, MDa, Tomas A. Salerno, MDa

a Division of Cardiothoracic Surgery, Kaleida Health System-Buffalo General Hospital, SUNY at Buffalo, Buffalo, New York, USA

Address reprints requests to Dr Karamanoukian, Division of Cardiothoracic Surgery, Buffalo General Hospital, 100 High St, Buffalo, NY 142034
e-mail: lisbon5{at}yahoo.com

Endovascular stent graft repair of descending thoracic aortic aneurysms has been recently introduced as an alternative to conventional graft replacement of the diseased aorta. As experience with this new technique accumulates, complications may occur. We herein report the case of a patient in whom we observed distal migration with leak of an endovascular stent graft previously inserted in the descending thoracic aorta, associated with an aortobronchial fistula. The urgent surgical treatment undertaken, which consisted of graft replacement of the previously stented aorta, had a fatal outcome.




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