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Junichiro Nishizawa
Masahiko Matsumoto
Takaaki Sugita
Katsuhiko Matsuyama
Yoshiyuki Tokuda
Kazunori Yoshida
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Ann Thorac Surg 2004;77:1821-1823
© 2004 The Society of Thoracic Surgeons

Case report

Surgical treatment of five patients with aortobronchial fistula in the aortic arch

Junichiro Nishizawa, MD, PhDa*, Masahiko Matsumoto, MD, PhDa, Takaaki Sugita, MD, PhDa, Katsuhiko Matsuyama, MD, PhDa, Yoshiyuki Tokuda, MDa, Kazunori Yoshida, MDa, Takehiko Matsuo, MDa

a Department of Cardiovascular Surgery, Tenri Hospital, Tenri, Nara, Japan

Accepted for publication June 4, 2003.

* Address reprint requests to Dr Nishizawa, Department of Cardiovascular Surgery, Tenri Hospital, 200 Mishima, Tenri, Nara, 632-8552 Japan.
e-mail: nishizaw{at}tenriyorozu-hp.or.jp

Aortobronchial fistula (ABF) is a rare condition that is almost always fatal in the absence of prompt and proper treatment. However, treatment remains challenging, particularly in the aortic arch. We present six operations for 5 such patients, in which no in-hospital deaths occurred. One patient with mycotic aneurysm died suddenly 10 months postoperatively. Another patient required reoperation 5-months after operation due to additional ABF. No pseudoaneurysms or graft-related complications were observed in the remaining patients. In patients with ABF, performance of operations as soon as possible after onset and minimal dissection of adherent lung tissue appear to improve outcomes.






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