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Eur J Cardiothorac Surg 2006;29:419-421
© 2006 Elsevier Science NL

Case report

Aorto-bronchial fistula following aortic and bronchial stenting of a thoracic aneurysm

^a The Cardiothoracic Center NHS Trust, Thomas Drive, Liverpool L14 3PE, United Kingdom
^b Department of Vascular Surgery, Royal Liverpool Hospital NHS Trust, United Kingdom

Received 2 November 2005; received in revised form 8 November 2005; accepted 23 November 2005.

^_* Corresponding author. Tel.: +44 151 293 2456; fax: +44 151 293 2254. (Email: Richard.Page{at}ctc.nhs.uk).

A 66-year-old man underwent repair of an abdominal aortic aneurysm and synchronous stenting of a thoracic aneurysm compressing his left main bronchus. This resulted in further bronchial compression which was also stented. An aorto-bronchial fistula resulting in severe haemoptysis occurred a few weeks later. This was successfully treated with repeat endovascular stenting and left pneumonectomy. Open repair should be the treatment of choice for thoracic aneurysms with bronchial compression.

Key Words: Aortic aneurysm • Aortic stent • Airway stent