Aortobronchial fistula after aortic coartactation

Abstract

A second unique advantage of the hybrid operating environment is in providing less-invasive therapeutic options. As in our patient, surgical graft revision would have required a second period of cardiopulmonary bypass and aortic clamping, and this was avoided by electing to perform a less-invasive percutaneous intervention. This resulted in a dramatic improvement in the graft flow and distal runoff with recruitment of collaterals and immediate resolution of the patient's mitral regurgitation. Moreover, the hybrid environment will undoubtedly lead to more liberal use of minimally invasive valve operations combined with percutaneous coronary interventions and combined surgical and percutaneous revascularization techniques. 3 References 1. Byrne JG, Leacche M, Unic D, Rawn JD, Simon DI, Rogers CD, et al.Staged initial percutaneous coronary intervention followed by valve surgery ("hybrid approach") for patients with complex coronary and valve disease.

Thoracic endovascular repair as a safe management strategy for aortobronchial fistulas

“…22 Lastly, our series reaffirms the association of ABF with prior thoracic aortic intervention. 1,3,6,9,12,[35][36][37] Six patients (55%) had undergone prior thoracic aortic procedures, with three of these (50%) involving arterial bypasses for coarctation of the aorta. The literature review of Picichè et al 3 confirms the increased prevalence of ABF after aortic coarctation repair, noting 26 of the 71 (37%) described ABFs to occur in this specific postoperative state.…”

Fístula aortobroncopulmonar em pós-operatório tardio de coarctação da aorta

“…The endovascular treatment with auto-expandable prosthesis has also been used; however, randomized prospective studies are still necessary to establish the procedure outcomes and to allow a comparative analysis with the surgical treatment outcomes 1 .…”

“…Classically, the aortobronchopulmonary fistula is associated to a history of hemoptysis, with the latter being the main clinical manifestation 5,9 . The existence of an aortobronchopulmonary fistula must always be considered in patients presenting hemoptysis and a history of thoracic aortic surgery 1 . It can occur within three weeks to 25 years after the surgery 4 .…”

“…Aortobronchopulmonary fistulas are rare and potentially fatal complications of thoracic aorta reconstruction surgeries 1 . Among the most common causes are the aneurysm and the infection in the thoracic aorta graft 2,3 .…”

Thoracic endovascular aortic repair of aortobronchial fistulas

“…Reported outcomes after TEVAR for ABFs have been largely limited to individual case reports [4][5][6][7][8][9][10][11][12][13][14][15][16] or small case series. [17][18][19][20][21][22][23][24] To evaluate the feasibility of TEVAR for ABFs, we reviewed our single-institution case series and initiated an extensive review of the published experience to date.…”