Combined endovascular and open treatment to prevent increase in afterload in anastomotic pseudoaneurysm and aortobronchial fistula after surgery for aortic coarctation

We report the treatment of a patient who had presented with hemoptysis due to an aortobronchial fistula from an anastomotic pseudoaneurysm after extra-anatomic bypass for aortic coarctation. An aortobronchial fistula can often result from an aortic pseudoaneurysm and is associated with high mortalit...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2021-12, Vol.7 (4), p.621-624
Main Authors: Nodari, Franco, Verrengia, Apollonia, Di Betta, Ernesto, Bonera, Giulia, Bonardelli, Stefano
Format: Article
Language:English
Subjects:
Anastomotic pseudoaneurysm
Aortic coarctation
Aortic endoprosthesis
Aortobronchial fistula
Axillofemoral bypass
Case report
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Summary:We report the treatment of a patient who had presented with hemoptysis due to an aortobronchial fistula from an anastomotic pseudoaneurysm after extra-anatomic bypass for aortic coarctation. An aortobronchial fistula can often result from an aortic pseudoaneurysm and is associated with high mortality if not treated. We decided to use combined endovascular and open surgical treatment and obtained a satisfactory intraoperative result. The perioperative outcome and first follow-up visit were favorable. In recent years, endovascular repair of pathologic aortic conditions has increased; thus, we have placed the present case within the context of the relevant medical literature.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2021.08.001