单侧肺移植术后主动脉支气管瘘

Aortobronchial fistula after unilateral lung transplantation.

作者信息

Hoff S J, Johnson J E, Frist W H

机构信息

Department of Cardiac and Thoracic Surgery, Vanderbilt Transplant Center, Vanderbilt University Medical Center, Nashville, Tennessee 32732-5734.

出版信息

Ann Thorac Surg. 1993 Dec;56(6):1402-3. doi: 10.1016/0003-4975(93)90695-e.

DOI:10.1016/0003-4975(93)90695-e

PMID:8267449

Abstract

An aortobronchial fistula resulting in massive hemoptysis developed in a 48-year-old man 13 months after unilateral lung transplantation. His posttransplantation recovery was complicated by bronchial dehiscence requiring revision and subsequent stricture formation treated by granulation tissue excision, placement of endobronchial stents, dilation, and laser photoablation. Early and aggressive treatment using these modalities is necessary in the successful management of airway complications after pulmonary transplantation.

摘要

一名48岁男性在单侧肺移植13个月后发生了导致大量咯血的主动脉支气管瘘。他移植后的恢复过程因支气管裂开而复杂化，支气管裂开需要修复，随后形成的狭窄通过肉芽组织切除、放置支气管内支架、扩张和激光光凝治疗。在成功处理肺移植后的气道并发症方面，早期积极采用这些方法进行治疗是必要的。