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Eur J Cardiothorac Surg 2001;20:642-644
© 2001 Elsevier Science NL

Case report

Emergency management of aorto-bronchial fistula after implantation of a self-expanding bronchial stent

Regional Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK

Received 23 January 2001; received in revised form 11 May 2001; accepted 31 May 2001.

Corresponding author. Tel.: +44-191-284-3111; fax: +44-191-223-1175
e-mail: smnouraei{at}yahoo.co.uk

We report a case of aorto-bronchial fistula 7 years after implantation of a self-expanding metal stent into the left main bronchus. The clinical presentation was characterised by left-sided chest pain, dyspnea and a single bout of haemoptysis. The fistula was surgically managed by aortic resection and primary repair of the aorta, and patch repair of the left main bronchus over a Polyflex covered bronchial stent. When haemoptysis occurs in a patient with a history of bronchial stent implantation, the presence of an aorto-bronchial fistula should be considered. Early diagnosis offers the only possibility of recovery through a lifesaving surgical procedure.

Key Words: Aorto-bronchial fistula • Bronchial stent • Haemoptysis

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