Stent-Graft Repair of Aortobronchial Fistula: A Review

Abstract

A contaminated field and the emergency setting make stent-graft repair of ABFs challenging. After successful stent-graft deployment, the risks of recurrence and mortality are concerning. One can infer from the data that endografting might be a reasonable temporary bridge solution, but potentially unstable in the long term. Open repair likely will remain indicated once the patient has been stabilized physiologically with emergent stent-graft repair.

Thoracic endovascular repair as a safe management strategy for aortobronchial fistulas

“…The characteristics and diagnostic workup of our patients mirror those reported in similar case reports and meta-analyses. [24][25][26][27][28][29][30][31][32][33][34] Notably, our treatment group had a nearly even distribution of men and women, all patients presented with hemoptysis, and each received a CT as part of the initial diagnostic work-up. Though CTA was successful in demonstrating thoracic aortic pathology and adjacent lung parenchymal changes, no ABF were visualized as a direct result of this diagnostic test.…”

Thick lung wedge resection for acute life-threatening massive hemoptysis due to aortobronchial fistula

“…Aortobronchial fistula is a life-threatening condition. Major factors of the poor prognosis are the patient's unstable condition, emergency of the repair, and presence of aortic wall infection (2). Various diagnostic tools, such as computed tomography, echocardiography, bronchoscopy, and aortography, are useful in diagnosing the aortobronchial fistula; the differential diagnosis established only 44-56% of all cases (3).…”

Mycotic Aneurysm Due to Leclercia Adecarboxylata: A Complication of Vertebral Osteomyelitis

“…A conservative policy regarding antibiotic treatment should include at least 4 weeks of periprocedural intravenous antibiotics followed by casespecific administration of oral suppressive antibiotics according to clinical and laboratory parameters. 29 However, if the clinical picture and the inflammatory markers suggest a continuous infection, a prolonged antibiotic administration should be considered. The second year after the endograft deployment, he presented with bilateral buttock claudication and a new CTA scan revealed ostial common iliac arteries stenosis for which a ''kissing-stent'' technique using balloon-expandable stents was performed under local anesthesia.…”