Aortobronchiale Fisteln als Spätkomplikationen nach operativer Korrektur von Aortenisthmusstenosen
| Autor: | G. Friedmann, J. Krüger, Pippert H, Gross-Fengels W |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Coarctation of the aorta Left heart failure General Medicine Digital subtraction angiography medicine.disease Surgery Pneumonectomy Aneurysm medicine.artery Ascending aorta medicine Thoracotomy business Vascular graft |
| Zdroj: | DMW - Deutsche Medizinische Wochenschrift. 116:1274-1278 |
| ISSN: | 1439-4413 0012-0472 |
| DOI: | 10.1055/s-2008-1063747 |
| Popis: | Three patients (2 men, aged 39 and 52 years, one woman, aged 47 years) developed hemoptysis 3-19 years after surgical resection of coarctation of the aorta. Digital subtraction angiography in the two men was suspicious of an aortobronchial fistula. An emergency thoracotomy revealed the diagnosis in the woman: she died during the operation of intractable arterial bleeding, the initial operation having been atypical (insertion of a graft extending across the isthmus to the ascending aorta). The 52-year-old man died of left heart failure after pneumonectomy (for massive bleeding into the left lung). An aneurysm sack at the aortic isthmus was resected and a vascular graft implanted in the 39-year-old man. There have been no further hemoptyses. These cases emphasize the need for including aortobronchial fistula as a cause of hemoptysis. |
| Databáze: | OpenAIRE |
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