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(Chest. 1994;106:1590-1594.)
© 1994 American College of Chest Physicians

Aortobronchial Fistula 13 Years Following Repair of Aortic Transection

Ella A. Kazerooni M.D.1; David M. Williams M.D.1; Gerald D. Abrams M.D.2; G. Michael Deeb M.D.3; and John G. Weg M.D.; F.C.C.P.4

1 From the Department of Radiology, University of Michigan Hospitals, Ann Arbor
2 From the Department of Pathology, University of Michigan Hospitals, Ann Arbor
3 From the Department of Surgery, University of Michigan Hospitals, Ann Arbor
4 From the Internal Medicine, University of Michigan Hospitals, Ann Arbor

We describe a 56-year-old man with the new onset of hemoptysis, increasing in frequency and magnitude, initially diagnosed and treated as pulmonary embolism. Bronchoscopy, computed tomography, and thoracic aortography were performed twice before the diagnosis was made. Thirteen years previously, the patient underwent thoracic aortic interposition graft placement for aortic laceration as a result of a motor vehicle accident. The second aortogram demonstrated a small pseudoaneurysm at the expected proximal graft suture line. Aortobronchial fistula, a rare cause of hemoptysis, was diagnosed. The patient underwent successful resection of the graft and placement of a new dacron interposition graft. All cultures, including blood, sputum, and operative specimen cultures, were negative. The patient is alive and well 1 year following surgery.

Key Words: aneurysm, aortic • aorta, CT • aorta, surgery




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