Son Shin-Ah, Lee Deok Heon, Kim Gun-Jik
Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu, South Korea.
Indian J Thorac Cardiovasc Surg. 2020 Jul;36(4):416-419. doi: 10.1007/s12055-020-00939-8. Epub 2020 Mar 23.
Aortobronchial fistula (ABF) is a rare and devastating complication, if left untreated. Its main clinical manifestation is hemoptysis, and there are no defined guidelines for its treatment yet. Herein, we present the case of a 74-year-old male who complained of back pain and hemoptysis. The patient was diagnosed with pseudo-aneurysm and ABF, and he underwent hybrid thoracic endovascular aortic repair. However, hemoptysis recurred. With patch aortoplasty and anatomical lung resection, successful management of ABF was achieved, with no relapse for 5 years.
主动脉支气管瘘(ABF)是一种罕见且严重的并发症,若不治疗后果严重。其主要临床表现为咯血,目前尚无针对其治疗的明确指南。在此,我们报告一例74岁男性患者,该患者主诉背痛和咯血。患者被诊断为假性动脉瘤和ABF,并接受了杂交胸段血管腔内主动脉修复术。然而,咯血复发。通过补片主动脉成形术和解剖性肺切除术,成功实现了对ABF的治疗,5年未复发。