Miyata T, Ohara N, Shigematsu H, Konishi T, Yamaguchi H, Kazama S, Ohshiro H, Kawaguchi S, Ishimaru S
Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, The University of Tokyo, Japan.
J Vasc Surg. 1999 Mar;29(3):557-60. doi: 10.1016/s0741-5214(99)70286-7.
Two patients who had aortopulmonary fistula of postoperative origin with hemoptysis underwent successful repair by means of an endovascular stent graft procedure. One patient had undergone repeated thoracotomies two times, and the other one time to repair anastomotic aneurysms of the descending aorta after surgery for Takayasu's arteritis. A self-expanding stainless steel stent covered with a Dacron graft was inserted into the lesion through the external iliac or femoral artery. The patients recovered well, with no signs of infection or recurrent hemoptysis 8 months after the procedure. Endovascular stent grafting may be a therapeutic option for treating patients with aortopulmonary fistula.
