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Management of Aortobronchial Fistula With an Aortic Stent-Graft^*

^* From the Divisions of Cardiothoracic Surgery (Drs. Karmy-Jones and Lee), Vascular Surgery (Dr. Nicholls), and Interventional Radiology (Dr. Hoffer), Harborview Medical Center, Seattle, WA.

Correspondence to: Riyad Karmy-Jones, MD, Thoracic Surgery, Harborview Medical Center, Box 359796, 325 Ninth Ave, Seattle, WA 98104-2499; e-mail: riyad.karmy-jones{at}sos.washington.edu

Aortobronchial fistula presenting as massive hemoptysis is a rapidly fatal process that is extremely difficult to manage. We report a case in which endovascular occlusion of a fistula between a thoracic aortic pseudoaneurysm and lung was successfully managed by placement of an aortic endovascular stent-graft. Stent-grafting is a promising technique in managing complications of thoracic aneurysms and grafts.

Key Words: aortic aneurysm • endovascular stent • hemoptysis

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