Campagna A C, Wehner J H, Kirsch C M, Semba C P, Kagawa F T, Jensen W A, Dake M D
Department of Medicine, Santa Clara Valley Medical Center, San Jose, California, USA.
J Cardiovasc Surg (Torino). 1996 Dec;37(6):643-6.
We present a 45 year old man with massive hemoptysis due to an aortopulmonary fistula. Our patient had a history of a previous patent ductus arteriosus repair which was complicated by a previous aortopulmonary fistula. Computed tomography of the chest and aortography made the diagnosis of a recurrent aortopulmonary fistula. Because of the history of previous surgical aortic procedures, repair of the fistula was completed through a retroperitoneal aortotomy with intravascular insertion of an expandable stainless steel stent covered by a polyester graft. The patient has had no hemoptysis or computed tomographic evidence of fistula recurrence thirty eight months after the procedure.
我们报告一名45岁男性因主肺动脉瘘出现大量咯血。我们的患者既往有动脉导管未闭修复病史，该病史并发了既往主肺动脉瘘。胸部计算机断层扫描和主动脉造影诊断为复发性主肺动脉瘘。由于既往有主动脉外科手术史，通过腹膜后主动脉切开术并在血管内插入由聚酯移植物覆盖的可扩张不锈钢支架完成了瘘管修复。术后38个月，患者未再出现咯血，计算机断层扫描也未显示瘘管复发迹象。
