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Emergency management of aorto-bronchial fistula after implantation of a self-expanding bronchial stent

Lookup NU author(s): T Pillay, Colin Hilton

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Abstract

We report a case of aorto-bronchial fistula 7 years after implantation of a self-expanding metal stent into the left main bronchus. The clinical presentation was characterised by left-sided chest pain, dyspnea and a single bout of haemoptysis. The fistula was surgically managed by aortic resection and primary repair of the aorta, and patch repair of the left main bronchus over a Polyflex covered bronchial stent. When haemoptysis occurs in a patient with a history of bronchial stent implantation, the presence of an aorto-bronchial fistula should be considered. Early diagnosis offers the only possibility of recovery through a lifesaving surgical procedure. (C) 2001 Elsevier Science B.V. All rights reserved.

Publication metadata

Author(s): Nouraei SM, Pillay T, Hilton CJ

Publication type: Article

Publication status: Published

Journal: European Journal of Cardio-Thoracic Surgery

Year: 2001

Volume: 20

Issue: 3

Pages: 642-644

ISSN (print): 1010-7940

ISSN (electronic): 1873-734X

Publisher: Oxford University Press

URL: http://dx.doi.org/10.1016/S1010-7940(01)00836-3

DOI: 10.1016/S1010-7940(01)00836-3

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