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Korean J Thorac Cardiovasc Surg 2007; 40(8): 578-581

Published online August 5, 2007

Copyright © Journal of Chest Surgery.

Descending Aorto-bronchial Fistula after Ascending Aorta Graft Interposition for Type I Acute Aortic Dissection

Kyoung Min Ryu, M.D.*, Jae-Wook Ryu, M.D.*, Seong-Sik Park, M.D.*, Seok-Kon Kim, M.D.**, Pil-Won Seo, M.D.*

Departments of Thoracic and Cardiovascular Surgery, College of Medicine, Dankook University, Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook University

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 59-year old female patient was admitted due to massive hemoptysis. 6-months previously, we performed ascending aorta graft interposition for terating Debakey type 1 acute aortic dissection. Chest CT scan showed the fistula between the descending thoracic aorta and the left lower lobe. We performed descending thoracic aorta graft interposition under cardiopulmonary bypass. She recovered well without any postoperative problems. Distal aorto-bronchial fistula after a previous aortic operation is very rare. We report here the good results of treating aorto-bronchial fistula because we recognized this lesion early and performed an early operation.

Keywords: Aortic dissection, Fistula, Bronchus, Postoperative complications

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Korean J Thorac Cardiovasc Surg 2007; 40(8): 578-581

Published online August 5, 2007

Copyright © Journal of Chest Surgery.

Descending Aorto-bronchial Fistula after Ascending Aorta Graft Interposition for Type I Acute Aortic Dissection

Kyoung Min Ryu, M.D.*, Jae-Wook Ryu, M.D.*, Seong-Sik Park, M.D.*, Seok-Kon Kim, M.D.**, Pil-Won Seo, M.D.*

Departments of Thoracic and Cardiovascular Surgery, College of Medicine, Dankook University, Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook University

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 59-year old female patient was admitted due to massive hemoptysis. 6-months previously, we performed ascending aorta graft interposition for terating Debakey type 1 acute aortic dissection. Chest CT scan showed the fistula between the descending thoracic aorta and the left lower lobe. We performed descending thoracic aorta graft interposition under cardiopulmonary bypass. She recovered well without any postoperative problems. Distal aorto-bronchial fistula after a previous aortic operation is very rare. We report here the good results of treating aorto-bronchial fistula because we recognized this lesion early and performed an early operation.

Keywords: Aortic dissection, Fistula, Bronchus, Postoperative complications

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