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Right arrow Trachea and bronchi

Ann Thorac Surg 2006;82:e35-e36
© 2006 The Society of Thoracic Surgeons


Case Reports

Tuberculous Hilar Lymph Nodes Leading to Tracheopulmonary Artery Fistula and Pseudoaneurysm of Pulmonary Artery

Saulat H. Fatimi, MD, FACSa, Muhammad A. Javed, MDa,*, Usman Ahmad, MBBSa, Buland I. Siddiqi, MBBSa, Nawal Salahuddin, MD, FACCPb

a Department of Surgery, Division of Cardiothoracic Surgery, Aga Khan University, Karachi, Pakistan
b Department of Medicine, Division of Pulmonology, Aga Khan University, Karachi, Pakistan

Accepted for publication June 28, 2006.

* Address correspondence to Dr Javed, Department of Surgery, Division of Cardiothoracic Surgery, Aga Khan University Hospital, Stadium Rd, Karachi 74800 Pakistan. (Email: ahsanjaved{at}yahoo.com).

Tracheopulmonary artery fistula is an extremely rare condition. We report the case of an 80-year-old man who presented with massive hemoptysis. He was found to have tuberculous mediastinal lymph nodes that had eroded into the pulmonary artery and anterior tracheal wall, leading to a pseudoaneurysm of the right pulmonary artery and a tracheopulmonary artery fistula.







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Copyright © 2006 by The Society of Thoracic Surgeons.