Hiep-van Casteren S C, Westermann C J, Hamerlijnck R P, Cornelissen P H, Overtoom T T
Dept of Pulmonology, St. Antonius Hospital, Nieuwegein, The Netherlands.
Eur Respir J. 1995 Oct;8(10):1796-8. doi: 10.1183/09031936.95.08101796.
Aortobronchial fistula (ABF) is a rare but highly lethal condition. Four patients with ABF, 10-25 years after surgical repair of a congenital cardiovascular abnormality are reported. All patients presented with haemoptysis. Computed tomographic (CT) scan and aortography were inconclusive in two, diagnostic in one and not performed in another. Three patients underwent operation: all survived and are free of symptoms with a follow-up of 2-8 yrs. The fourth patient died before operation due to massive haemorrhage into the lung. In all patients, the fistula was secondary to aortic interposition of patch grafts.
主动脉支气管瘘（ABF）是一种罕见但极具致死性的病症。本文报告了4例在先天性心血管异常手术修复后10至25年发生ABF的患者。所有患者均有咯血症状。计算机断层扫描（CT）和主动脉造影检查中，2例结果不明确，1例有诊断价值，另1例未进行该项检查。3例患者接受了手术：全部存活，随访2至8年无症状。第4例患者术前因大量肺内出血死亡。所有患者的瘘均继发于补片移植物的主动脉置入。
