Milano A, De Carlo M, Mussi A, Falaschi F, Bortolotti U
Department of Cardiology, Angiology and Pneumology, University of Pisa Medical School, Italy.
Ann Thorac Surg. 1999 Feb;67(2):539-41. doi: 10.1016/s0003-4975(98)01157-6.
A 34-year-old man had development of an aortobronchial fistula 17 years after patch aortoplasty for correction of aortic coarctation and 5 years after blunt chest trauma, an unusual combination of predisposing factors. The clinical presentation, characterized by dysphonia and recurrent hemoptysis, and the surgical findings suggested the posttraumatic origin of the fistula, which was successfully managed by aortic resection and graft interposition under simple aortic cross-clamping, associated with partial pulmonary lobectomy. When hemoptysis occurs in a patient with a history of an aortic thoracic procedure, the presence of an aortobronchial fistula should be suspected. Early diagnosis offers the only possibility of recovery through a lifesaving surgical procedure.
一名34岁男性在接受主动脉缩窄矫正补片主动脉成形术17年后，以及钝性胸部创伤5年后发生了主动脉支气管瘘，这是一种不寻常的诱发因素组合。临床表现以声音嘶哑和反复咯血为特征，手术结果提示瘘管起源于创伤后，通过在简单的主动脉交叉钳夹下进行主动脉切除和移植物植入，并联合部分肺叶切除术，成功地对其进行了处理。当有胸主动脉手术史的患者出现咯血时，应怀疑存在主动脉支气管瘘。早期诊断是通过挽救生命的手术实现康复的唯一可能性。
