Hospital do Coração de Natal, Natal, RN, Brazil.
Arq Bras Cardiol. 2009 Apr;92(4):e50-2. doi: 10.1590/s0066-782x2009000400016.
In patients with hemoptysis and a history of aortic surgery, the possibility of aortobronchopulmonary fistula must always be considered. The objective of this study was to report a rare case of hemoptysis due to aortobronchopulmonary fistula in the late postoperative period of aortic surgery.
Female patient, 34 years, surgical correction of aortic coarctation, presenting massive hemoptysis. The echocardiogram disclosed a pseudoaneurysm. The surgical correction was performed and a Dacron tube graft was implanted in the affected aortic segment successfully.
Aortobronchopulmonary fistulas must be considered in patients with previous aortic surgery, due to the elevated morbimortality if they are not promptly diagnosed and treated.
对于咯血且有主动脉手术史的患者，必须始终考虑发生主-支气管-肺瘘的可能性。本研究的目的是报告一例主动脉手术后晚期因主-支气管-肺瘘引起咯血的罕见病例。
女性患者，34 岁，行主动脉缩窄外科矫正术，出现大量咯血。超声心动图显示假性动脉瘤。手术矫正成功，在受影响的主动脉节段植入了 Dacron 管移植物。
对于既往有主动脉手术史的患者，如果不能及时诊断和治疗，应考虑发生主-支气管-肺瘘的可能性，因为其病死率和发病率很高。
