Gruenebaum Dane D, Graf Ray, Alexander Thomas, Tavares Sergio, Surani Salim
Division of Cardiology, Corpus Christi Medical Center, Corpus Christi, TX 78412, USA.
Department of Surgery, Corpus Christi Medical Center, Corpus Christi, TX 78412, USA.
Case Rep Cardiol. 2018 Apr 3;2018:1975756. doi: 10.1155/2018/1975756. eCollection 2018.
Aortobronchial fistula (ABF) is a rare complication of aortic repair seen with both surgical and endovascular manipulation. The available literature largely refers to the need for surgical repair. We are not aware of any reports of endovascular repair after the Bentall procedure. This report describes a patient who after the Bentall procedure presented with massive hemoptysis from ABF, a multidisciplinary team decided on endovascular repair due to patient frailty to avoid redo sternotomy. We believe this is the first case report of endovascular repair and represents the success of multidisciplinary collaboration.
主动脉支气管瘘（ABF）是主动脉修复的一种罕见并发症，在外科手术和血管内操作中均可出现。现有文献大多提及手术修复的必要性。我们未发现任何关于Bentall手术后血管内修复的报道。本报告描述了一名在Bentall手术后因ABF出现大量咯血的患者，由于患者身体虚弱，多学科团队决定进行血管内修复以避免再次开胸。我们认为这是血管内修复的首例病例报告，代表了多学科协作的成功。
