Division of Vascular and Endovascular Surgery, University of Perugia, Ospedale S. Maria della Misericordia, Perugia, Italy.
Ann Thorac Surg. 2010 Jan;89(1):275-7. doi: 10.1016/j.athoracsur.2009.06.035.
Aortobronchial fistulas are a rare and frequently misdiagnosed cause of massive hemoptysis, which is often fatal. Aortic stent grafts now allow for a safer emergency repair. However, there is a high (40% to 50%) recurrence risk, with a high fatality rate. A patient with an aortobronchial fistula due to a ruptured thoracic aortic aneurysm underwent a two-stage repair. An aortic stent graft was deployed as an emergency, and a second surgical durable repair was performed 4 months later. The patient recovered well. The best management of aortobronchial fistula may be emergency use of stent graft, followed by a delayed durable open repair when the patient has achieved stability.
主动脉支气管瘘是一种罕见且常被误诊的大咯血病因，常导致死亡。主动脉覆膜支架现在可进行更安全的紧急修复。然而，复发风险较高（40%至 50%），死亡率也较高。一名因胸主动脉瘤破裂导致主动脉支气管瘘的患者接受了两阶段修复。紧急情况下部署了主动脉覆膜支架，4 个月后进行了第二次手术持久修复。患者恢复良好。主动脉支气管瘘的最佳治疗方法可能是紧急使用支架，待患者稳定后再进行延迟的持久开放修复。
